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Individual

TERESA LYNN EAKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LADC

Contact information

Practice address
1811 WEIR DR, SUITE 270, WOODBURY, MN 55125-2272
(651) 714-9646
(651) 714-9647
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301588
MN
101YP2500X
Professional Counselor
Primary
00052
MN

Other

Enumeration date
05/16/2007
Last updated
09/17/2014
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