| Doctor Name: | MRS. JAMIE LEE RIESER |
| NPI Number: | 1053425751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | CC00333 |
| Business Practice Address: | 116 7th St S Saint James, MN - 560811756 |
| Business Phone Number: | 5073755688 |
| Business Fax Number: | 5073755688 |
| Mailing Address: | 12627 County Road 102, HANSKA |
| State: | MN |
| Postal Code: | 560414376 |
| Phone Number: | 5073545665 |
| Fax Number: | 5073755688 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC00333 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |