Provider Demographics
NPI:1871829408
Name:LEHMANN, KATHRINE (LADC)
Entity Type:Individual
Prefix:
First Name:KATHRINE
Middle Name:
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 NEBRASKA AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-3327
Mailing Address - Country:US
Mailing Address - Phone:612-306-4778
Mailing Address - Fax:
Practice Address - Street 1:1984 KENWOOD PKWY
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-2220
Practice Address - Country:US
Practice Address - Phone:612-306-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302343101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)