Individual
MS. LEEANN - SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 871-0118
Mailing address
155 WHITE OAKS LN, VADNAIS HEIGHTS, MN 55127-6131
(651) 486-8440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300455
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300455
LADC STATE LICENSE
MN
Enumeration date
03/07/2007
Last updated
07/08/2007
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