Individual provider · Type 1 NPI

Jaime Leisch, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1235640004 Active

Practice location

1123 Grand Ave
St. Paul, MN 55105-2629

Call (651) 262-6236 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303428 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235640004

Jaime Leisch, LADC's National Provider Identifier is 1235640004, issued on Oct 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Oct 19, 2017.