Provider Demographics
NPI:1437873437
Name:MOREY FINSTROM, LEA (MA, MS)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:MOREY FINSTROM
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10930 MISSISSIPPI BLVD NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-3866
Mailing Address - Country:US
Mailing Address - Phone:612-205-8389
Mailing Address - Fax:
Practice Address - Street 1:10930 MISSISSIPPI BLVD NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-3866
Practice Address - Country:US
Practice Address - Phone:612-205-8389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health