Individual provider · Type 1 NPI

Lisa Jo Lippold, MA, LPCC, LADC

Professional Counselor · Minneapolis, MN

NPI number 1306382007 Active

Practice location

4027 County Road 25
Minneapolis, MN 55416-2629

Call (612) 925-6033 Map

Fax (612) 925-8496

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Other practice locations

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 · (866) 603-0016

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3266 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X302394 (MN)

Professional Counselor: Definition to come...

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About NPI 1306382007

Lisa Jo Lippold, MA, LPCC, LADC's National Provider Identifier is 1306382007, issued on Jan 18, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on May 2, 2024.