Individual
ELISABETH EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6542 REGENCY LN STE 210, EDEN PRAIRIE, MN 55344-7848
(612) 564-3402
Mailing address
9400 CREEKWOOD DR, EDEN PRAIRIE, MN 55347-2766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
938
MN
Other
Enumeration date
02/09/2015
Last updated
02/11/2021
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