Weber, Lisa Jacqueline

Weber, Lisa Jacqueline is an sole proprietor health care provider with primary practice located at 5700 Bottineau Blvd Ste 210 , Crystal MN 55429-3184. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weber, Lisa Jacqueline can be contacted via phone (763) 330-2774.

Contact Information

Primary practice address
5700 Bottineau Blvd Ste 210 Crystal MN 55429-3184
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28873 Minnesota

Profile Details

NPI number 1932827730
LBN Legal business name Weber, Lisa Jacqueline
Credentials LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2022
Last updated Aug 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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