Individual
MRS. RINDIE EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
21395 JOHN MILLESS DR STE 400, ROGERS, MN 55374-4407
(763) 424-1888
Mailing address
18846 SMITH DR NW, ELK RIVER, MN 55330-7510
(763) 370-5014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1167
MN
101YM0800X
Mental Health Counselor
Primary
1167
MN
101YP2500X
Professional Counselor
1167
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167
BOARD OF BEHAVIORAL HEALTH AND THERAPY - LPCC
MN
Enumeration date
03/12/2013
Last updated
09/18/2022
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