Individual provider · Type 1 NPI

Lee Thao, LPCC, LADC

Mental Health Counselor · Roseville, MN

NPI number 1972012391 Active

Practice location

2345 Rice St Ste 145
Roseville, MN 55113-3720

Call (612) 314-3076 Map

Fax (651) 251-4889

Mailing address

1377 County Road E W
Arden Hills, MN 55112-3654

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X305599 (MN)
Mental Health Counselor 101YM0800X127583 (IA)
Mental Health Counselor 101YM0800X11190-125 (WI)
Professional Counselor 101YP2500X3470 (MN)
Mental Health Counselor Primary 101YM0800X3470 (MN)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1972012391

Lee Thao, LPCC, LADC's National Provider Identifier is 1972012391, issued on Sep 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseville, MN. The record was last updated on Mar 17, 2025.