Individual
REBECCA JANE ELLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
6636 CEDAR AVE S, RICHFIELD, MN 55423-2705
(612) 512-1085
(612) 268-5858
Mailing address
6636 CEDAR AVE S, RICHFIELD, MN 55423-2705
(612) 512-1085
(612) 268-5858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02183
MN
101YP2500X
Professional Counselor
CC02183
MN
Other
Enumeration date
08/19/2019
Last updated
10/25/2024
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