Individual
MRS. TANYA LYNNE EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9141 30TH AVE N, NEW HOPE, MN 55427-2301
(612) 607-9794
(763) 951-2335
Mailing address
9141 30TH AVE N, NEW HOPE, MN 55427-2301
(612) 607-9794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02302
MN
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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