Provider Information for 1861956948
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
REBECCA KOSKINIEMI LICSW
Sex: Female
NPI: 1861956948
Last Updated: 2023-09-13
Certification Date: 2023-09-13
Certification Date: 2023-09-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861956948 | ||||||||
| Enumeration Date | 2019-01-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 341 NEW YORK MILLS, MN 56567-0341 United States Phone: 218-731-8896 | Fax:855-852-5355 | ||||||||
| Primary Practice Address | 118 MAIN AVE N STE 203 NEW YORK MILLS, MN 56567-4405 United States Phone: 218-731-8896 | Fax:855-852-5355 | ||||||||
| Secondary Practice Address(es) | 125 W LINCOLN AVE STE 10 13045 FALCON DR STE 100 | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|