Provider Demographics
NPI:1508396078
Name:VENKER, ERIN (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:VENKER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SELBY AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2855
Mailing Address - Country:US
Mailing Address - Phone:612-730-5209
Mailing Address - Fax:
Practice Address - Street 1:6607 18TH AVE S STE 201
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2700
Practice Address - Country:US
Practice Address - Phone:612-730-5209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional