Provider Demographics
NPI:1710392576
Name:MEYER, EMILY K (LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:MEYER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WASHINGTON AVE W
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-2480
Mailing Address - Country:US
Mailing Address - Phone:320-632-5524
Mailing Address - Fax:888-991-2741
Practice Address - Street 1:16 WASHINGTON AVE W STE 101
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2481
Practice Address - Country:US
Practice Address - Phone:320-632-5524
Practice Address - Fax:888-991-2741
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00792101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health