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NPI 1396448965

NPI 1396448965 : LEIGH ALLISON HOFFERT LPC : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1396448965
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    Entity Type          |    Individual 
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    Provider Name        |    LEIGH ALLISON HOFFERT LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2023
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    Last Update Date     |    03/23/2023
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Provider Practice Location Address
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    Address Line         |    7117 OHMS LN 
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55439-2142
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    Country              |    US
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    Telephone            |    763-577-2489
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    Fax                  |    763-545-8150
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Provider Business Mailing Address
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    Address Line         |    6186 GOLDEN VALLEY RD 
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    City                 |    GOLDEN VALLEY
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    State                |    MN
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    Zip                  |    55422
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    Country              |    US
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    Telephone            |    218-343-1380
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    02714
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    License Number State |    MN
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