Individual provider · Type 1 NPI
Bethany Lanis Zelada, MA LADC LPCC
Professional Counselor · Woodbury, MN
NPI number
1780320804
Active
Practice location
611 Bielenberg Dr Ste 109
Woodbury, MN 55125-1431
Fax (651) 666-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305608 (MN) |
| Professional Counselor Primary | 101YP2500X | 3320 (MN) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1780320804
Bethany Lanis Zelada, MA LADC LPCC's National Provider Identifier is 1780320804, issued on May 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodbury, MN. The record was last updated on Jul 24, 2025.