Provider Demographics
NPI:1598396863
Name:LEEMANN, LINDSAY M (LPCC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:LEEMANN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-3681
Mailing Address - Country:US
Mailing Address - Phone:218-380-7310
Mailing Address - Fax:218-999-7068
Practice Address - Street 1:313 MAIN AVE E
Practice Address - Street 2:
Practice Address - City:DEER RIVER
Practice Address - State:MN
Practice Address - Zip Code:56636-8733
Practice Address - Country:US
Practice Address - Phone:844-466-3720
Practice Address - Fax:218-246-9849
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health