Individual
MS. JULIE KAY YAEKEL-BLACK ELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LPCC
Contact information
Practice address
112 1ST ST W, BEMIDJI, MN 56601-4002
(218) 888-8032
Mailing address
49659 STATE LINE RD, SANDSTONE, MN 55072-3032
(218) 590-1932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3776-125
WI
101YM0800X
Mental Health Counselor
Primary
MN LPCC 00588
MN
Other
Enumeration date
03/08/2007
Last updated
05/25/2021
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