Provider Demographics
NPI:1861711319
Name:SHELDON, REBECCA LEA MOLSTAD (MA, LPCC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEA MOLSTAD
Last Name:SHELDON
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEA
Other - Last Name:MOLSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 RIVERSIDE AVE
Mailing Address - Street 2:UNIT 4B WEST
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1450
Mailing Address - Country:US
Mailing Address - Phone:612-273-6055
Mailing Address - Fax:612-273-5815
Practice Address - Street 1:480 OSBORNE RD NE STE 260
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2866
Practice Address - Country:US
Practice Address - Phone:763-236-3800
Practice Address - Fax:763-236-3821
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional