Provider Demographics
NPI:1114576907
Name:REULE, LINDSEY MARIE (LPCC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE
Last Name:REULE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:MARIE
Other - Last Name:KRINGLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:1001 S 93RD ST
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-3138
Mailing Address - Country:US
Mailing Address - Phone:701-429-1900
Mailing Address - Fax:
Practice Address - Street 1:215 N 3RD ST STE 202C
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58203-3736
Practice Address - Country:US
Practice Address - Phone:701-248-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1018-8-1-19A101YP2500X
ND1018-8-1-19-434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional