Individual
BROOKLYN LEICHTNAM-WELCHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2001 BEAM AVE, MAPLEWOOD, MN 55109-1401
(952) 737-4520
Mailing address
2001 BEAM AVE, MAPLEWOOD, MN 55109-1401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4766
MN
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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