Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Rose Lee, MA, LADC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629934898

Bethany Rose Lee, MA, LADC is a Student in an Organized Health Care Education/Training Program in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

11505 36th Ave N
Plymouth, MN 55441-2304
Phone: (763) 509-3838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MN)

Record details

NPI number1629934898
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC
Sole proprietorNo
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

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