Individual provider · Type 1 NPI
Laurie Jean Sansom, LPC, LCPC, LPCC
Professional Counselor · Blaine, MN
NPI number
1396122008
Active
Practice location
11988 Oak Park Blvd NE
Blaine, MN 55434-3075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 02362 (MN) |
| Professional Counselor | 101YP2500X | 2545 (KS) |
Professional Counselor: Definition to come...
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About NPI 1396122008
Laurie Jean Sansom, LPC, LCPC, LPCC's National Provider Identifier is 1396122008, issued on May 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blaine, MN. The record was last updated on Mar 13, 2026.