Shelby Lynn Leske, MA, LPCC | |
8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 | |
(651) 254-8580 | |
Not Available |
Full Name | Shelby Lynn Leske |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8550 Hudson Blvd N, Lake Elmo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134824865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3773 (Minnesota) | Primary |
Entity Name | River Valley Behavioral Health & Wellness Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482 |
Mailing Address | Practice Location Address |
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Shelby Lynn Leske, MA, LPCC 3244 23rd Ave S, Minneapolis, MN 55407-5584 Ph: (320) 469-2962 | Shelby Lynn Leske, MA, LPCC 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 Ph: (651) 254-8580 |
Faduma Abdullahi Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9420 4th St N, Lake Elmo, MN 55042 Phone: 612-867-5647 | |
Vicki Rae Novak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-379-0448 | |
Ms. Karen Marie Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Cimarron, Lake Elmo, MN 55042 Phone: 612-715-2486 | |
Mrs. Holly M Pickard, MS Counselor Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Miss Elisa Laura Bachmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-383-4459 | |
Alexander Maas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042 Phone: 612-548-1135 |