Provider Demographics
NPI:1255630687
Name:DUMMER, EILEEN MARIE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MARIE
Last Name:DUMMER
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 1:101 MAIN STREET SOUTH
Mailing Address - Street 2:208
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350
Mailing Address - Country:US
Mailing Address - Phone:320-296-3098
Mailing Address - Fax:
Practice Address - Street 1:101 MAIN ST S
Practice Address - Street 2:208
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2538
Practice Address - Country:US
Practice Address - Phone:320-296-3098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health