Individual provider · Type 1 NPI

Katherine Elyse Gunderson Eccleston, MS, LPCC

Professional Counselor · Fridley, MN

NPI number 1710487947 Active

Practice location

7954 University Ave NE
Fridley, MN 55432-1860

Fax (763) 780-0784

Mailing address

3306 Buchanan St NE
Minneapolis, MN 55418-1450

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1741 (MN)

Professional Counselor: Definition to come...

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About NPI 1710487947

Katherine Elyse Gunderson Eccleston, MS, LPCC's National Provider Identifier is 1710487947, issued on Feb 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fridley, MN. The record was last updated on Feb 14, 2018.