Doctor Name: | MR. JEFFREY LEPKOWSKI |
NPI Number: | 1750511838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPCC, NCC |
License Number: | 8806 |
Business Practice Address: | 16201 90th St Ne Ste 200 Otsego, MN - 553307464 |
Business Phone Number: | 7637469492 |
Business Fax Number: | |
Mailing Address: | 1900 Silver Lake Rd Nw, 110 NEW BRIGHTON |
State: | MN |
Postal Code: | 551121786 |
Phone Number: | 6513791718 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |