Provider Demographics
NPI:1073745576
Name:LAMPRECHT, MARY P (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:P
Last Name:LAMPRECHT
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:P
Other - Last Name:DRAVLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:2100 CAMPUS DR SE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4845
Mailing Address - Country:US
Mailing Address - Phone:507-328-6420
Mailing Address - Fax:507-328-6401
Practice Address - Street 1:2100 CAMPUS DR SE STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4845
Practice Address - Country:US
Practice Address - Phone:507-328-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPCC301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional