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NPI Code Detail

MEDICARE: LAURA MAE TOMPKINS MS, LPCC

MEDICARE: LAURA MAE TOMPKINS MS, 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 CounselorCC01754MN
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1982152849
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MAE TOMPKINS MS, LPCC
Provider Business Mailing Address
First Line : 3601 MINNESOTA DR
Second Line :
City : EDINA
State : MN
Zip : 55435-5281
Country : US
Telephone Number : 763-220-8372
Fax Number :
Provider Business Practice Location Address
First Line : 3601 MINNESOTA DR STE 575
Second Line :
City : EDINA
State : MN
Zip : 55435-5213
Country : US
Telephone Number : 637-220-8372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 04/13/2023

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