Audrey Lidke, LPC, LISW Valid NPI
Individual provider · Professional Counselor · Rochester, MN
- NPI
- 1275823676
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 00270 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Practice location
5645 Meadow Dr Se
Rochester, MN 55904-8628
(507) 951-4495