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1396129706 NPI number — KARA DANIELLE EBERT LMFT, PMH-C

NPI Number: 1396129706
Health Care Provider/Practitioner: KARA DANIELLE EBERT LMFT, PMH-C

Information about “1396129706” NPI (KARA DANIELLE EBERT LMFT, PMH-C) exists in 1396129706 in HTML format HTML  |  1396129706 in plain Text format TXT  |  1396129706 in PDF (Portable Document Format) PDF  |  1396129706 in an XML format XML  formats.

NPI Number : 1396129706 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396129706",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EBERT",
    "FirstName": "KARA",
    "MiddleName": "DANIELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT, PMH-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOEN",
    "OtherFirstName": "KARA",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2163 US HIGHWAY 8 STE 100-4041",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT CROIX FALLS",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54024-8326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-226-8719",
    "MailingAddressFaxNumber": "651-666-1762",
    "FirstLinePracticeLocationAddress": "2724 STILLWATER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITE BEAR TOWNSHIP",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55110-2468",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-226-8719",
    "PracticeLocationAddressFaxNumber": "651-666-1762",
    "EnumerationDate": "07/15/2015",
    "LastUpdateDate": "12/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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