Provider Demographics
NPI:1467726877
Name:EASTERLUND, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:EASTERLUND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 REGENCY ROAD
Mailing Address - Street 2:
Mailing Address - City:LESUEUR
Mailing Address - State:MN
Mailing Address - Zip Code:56058
Mailing Address - Country:US
Mailing Address - Phone:612-871-7878
Mailing Address - Fax:612-871-2567
Practice Address - Street 1:216 REGENCY RD
Practice Address - Street 2:
Practice Address - City:LE SUEUR
Practice Address - State:MN
Practice Address - Zip Code:56058-2136
Practice Address - Country:US
Practice Address - Phone:612-871-7878
Practice Address - Fax:612-871-2567
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor