Reker, Kassandra Lee

Reker, Kassandra Lee is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Reker, Kassandra Lee can be contacted via phone (952) 993-3286.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3286
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6192 Minnesota
Behavioral Health & Social Service Providers / Counselor 101Y00000X 10566 Nebraska

Profile Details

NPI number 1043693161
LBN Legal business name Reker, Kassandra Lee
Credentials LMHP, PLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Mar 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043693161 NPPES
Nebraska MEDICAID 47037660624
Nebraska MEDICAID 10026139700
Nebraska MEDICAID 47037660631

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