Provider Demographics
NPI:1255837548
Name:BORKHUS, HANNAH CHRISTINE RIKKERS (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CHRISTINE RIKKERS
Last Name:BORKHUS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:CHRISTINE
Other - Last Name:RIKKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7301 OHMS LN STE 195
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2327
Mailing Address - Country:US
Mailing Address - Phone:612-787-2344
Mailing Address - Fax:
Practice Address - Street 1:7301 OHMS LN STE 195
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2327
Practice Address - Country:US
Practice Address - Phone:612-787-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN04163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional