MEDICARE: EMILY MAY ELISABETH WARD

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
1	101YM0800X	Mental Health Counselor	5303	MN

General Provider Information

NPI Number	:	1235091802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MAY ELISABETH WARD

Provider Business Mailing Address
First Line	:	703 BRIDGE AVE
Second Line	:
City	:	SUPERIOR
State	:	WI
Zip	:	54880-6643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 W SUPERIOR ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1938
Country	:	US
Telephone Number	:	218-606-1100
Fax Number	:	218-520-1799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ EMILY MAY ELISABETH WARD ” Practice Location

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