MRS. JISON ELLEN LEE L.P.C.
NPI 1417008145
Counselor - Mental Health in Minneapolis, MN
Active since January 16, 2007
2550 BLAISDELL AVE S, MINNEAPOLIS, MN 55404(612) 532-9100(612) 813-5399 Get Directions Write a Review
About Mrs. Jison Ellen Lee L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JISON ELLEN LEE L.P.C. (NPI 1417008145) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (LPC00683) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1417008145
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JISON ELLEN LEECredential: L.P.C.
Location Address2550 BLAISDELL AVE SMinneapolis, MN 55404
Mailing Address2550 Blaisdell Ave SMinneapolis, MN 55404 · (612) 532-9100 · Fax (612) 813-5399
Phone(612) 532-9100
Fax(612) 813-5399
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 28, 2009
✔ NPI 1417008145 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · LPC00683
2550 BLAISDELL AVE S, Minneapolis, MN 55404
Other Identifiers 1
OtherP1-089-7373-0MI · Bcbs Pin
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417008145, enumerated as an "individual" on January 16, 2007.
The provider is located at 2550 BLAISDELL AVE S MINNEAPOLIS, MN 55404 and the phone number is (612) 532-9100.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
