Individual
ALIVIA EBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1611 COUNTY ROAD B W STE 204, ROSEVILLE, MN 55113-4053
(651) 354-1933
Mailing address
1611 COUNTY ROAD B W STE 204, ROSEVILLE, MN 55113-4053
(651) 354-1933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770912271
—
MN
Enumeration date
09/23/2021
Last updated
09/23/2021
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