Individual provider · Type 1 NPI

Leigh-Demetra Nicklow, LPCC, LADC, SC-C

Mental Health Counselor · Center City, MN

NPI number 1831065895 Active

Practice location

15251 Pleasant Valley Rd
Center City, MN 55012-9640

Call (651) 213-4075 Map

Fax (651) 213-4888

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5772 (MN)

Mental Health Counselor: Definition to come...

60 other providers at this address

Other mental health counselor providers in Center City

See all in Center City →

About NPI 1831065895

Leigh-Demetra Nicklow, LPCC, LADC, SC-C's National Provider Identifier is 1831065895, issued on Oct 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Center City, MN. The record was last updated on Sep 11, 2026.