KATHERINE ELYSE GUNDERSON ECCLESTON MS LPCC NPI 1710487947

NPI Information

  • NPI: 1710487947
  • Provider Name: KATHERINE ELYSE GUNDERSON ECCLESTON, MS, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 7954 UNIVERSITY AVE NE
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 780-3036

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NPI Details

Katherine Elyse Gunderson Eccleston, MS, LPCC is a professional counselor in Fridley, MN. Katherine Elyse Gunderson Eccleston, MS, LPCC NPI is 1710487947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7954 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432-860
Phone: (763) 780-3036
Fax: (763) 780-0784

The enumeration date for this NPI number is 2/14/2018 and was last updated on 2/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional1741MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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