Brian Alan Lietz, BA

NPI #1619152857 in Bemidji, Minnesota

Provider Information

NPI Number: 1619152857
Entity Type: Individual
Name: Brian Alan Lietz, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Jan 7, 2008
Last Updated: Feb 29, 2008

Practice Location

Address: 722 15TH ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-2528
Phone: (218) 751-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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