Individual
LISANDRY MICHELLE HALEY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
606 24TH AVE S STE 602, MINNEAPOLIS, MN 55454-1438
(952) 997-4192
Mailing address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 861-1675
(612) 861-3446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
02311
MN
101YP2500X
Professional Counselor
Primary
3032
MN
Other
Enumeration date
02/16/2017
Last updated
12/30/2024
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