Provider Demographics
NPI:1477894285
Name:BEEKER, EVA MICHELLE (LPCC (ND) LPC (MN))
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:MICHELLE
Last Name:BEEKER
Suffix:
Gender:F
Credentials:LPCC (ND) LPC (MN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MCCANNEL HALL ROOM 200
Mailing Address - Street 2:2891 2ND AVE N STOP 9042
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58202-0798
Mailing Address - Country:US
Mailing Address - Phone:701-777-2127
Mailing Address - Fax:
Practice Address - Street 1:MCCANNEL HALL ROOM 200
Practice Address - Street 2:2891 2ND AVE N STOP 9042
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202-0798
Practice Address - Country:US
Practice Address - Phone:701-777-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02450101YP2500X
ND983-11-15-18-401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional