Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Leigh-Demetra Nicklow, LPCC, LADC, SC-C

Individual provider Mental Health Counselor · NPI 1831065895

Leigh-Demetra Nicklow, LPCC, LADC, SC-C is a Mental Health Counselor in Center City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

15251 Pleasant Valley Rd
Center City, MN 55012-9640
Phone: (651) 213-4075
Fax: (651) 213-4888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5772 (MN)

Record details

NPI number1831065895
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC , SC-C
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

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