Individual
KENNETH EUGENE EICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
47909 232ND ST, NEW ULM, MN 56073-5259
(612) 946-0205
Mailing address
200 3RD ST E, TRACY, MN 56175-1525
(507) 676-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301115
MN
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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