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Alivia Ebacher, LMFT
Mental Health Counselor in Roseville, Minnesota
NPI 1245901859

Alivia Ebacher is a Mental Health Counselor based in Roseville, MN and is specialized in Mental Health. Alivia Ebacher practices in Roseville, MN and has the professional credentials of LMFT. The NPI Number for Alivia Ebacher is 1245901859 and holds a License No. 3955 (Minnesota).

The current practice location address for Alivia Ebacher is 1611 County Road B W Ste 204, Roseville, MN and can be reached out via phone at 651-354-1933.

Location: 1611 County Road B W Ste 204, Roseville, MN, 55113-4053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245901859
Provider Name
Alivia Ebacher
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
1611 County Road B W Ste 204, Roseville, MN, 55113-4053
Phone Number
651-354-1933
Fax Number
Provider Enumeration Date
09/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770912271 05 MN
institution
Provider Business Practice Location Address Details
Address
1611 County Road B W Ste 204
City
Roseville
State
Minnesota
Zip
55113-4053
Phone Number
651-354-1933
Fax Number
person
Provider Business Mailing Address Details
Address
1611 County Road B W Ste 204
City
Roseville
State
Minnesota
Zip
55113-4053
Phone Number
651-354-1933
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3955 (Minnesota)
Definition
Definition to come...
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