Individual
LEAH WELLSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. LMFT
Contact information
Practice address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 994-6896
Mailing address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 994-6896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699473300
—
MN
Enumeration date
07/18/2005
Last updated
11/04/2020
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