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NPI Code Detail

MEDICARE: RAMONA EAKMAN MA, LPCC

MEDICARE: RAMONA EAKMAN MA, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2079MN

General Provider Information

NPI Number : 1780055160
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA EAKMAN MA, LPCC
Provider Business Mailing Address
First Line : 1155 NORTHLAND DR
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1288
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1155 NORTHLAND DR
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1288
Country : US
Telephone Number : 219-252-4356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2015
Last Update Date : 04/17/2023

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