Provider Demographics
NPI:1841567773
Name:ECCKER, EDDIE (LMFT)
Entity Type:Individual
Prefix:MR
First Name:EDDIE
Middle Name:
Last Name:ECCKER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:EDWARD
Other - Middle Name:
Other - Last Name:ECCKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:9936 SAYBROOK ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-8855
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6909 S HOLLY CIR
Practice Address - Street 2:304
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1042
Practice Address - Country:US
Practice Address - Phone:720-515-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO975106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist