Provider Demographics
NPI:1104796929
Name:DEGNER, ANAKA KINSEY
Entity type:Individual
Prefix:
First Name:ANAKA
Middle Name:KINSEY
Last Name:DEGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 LINDA PATH
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56024-4200
Mailing Address - Country:US
Mailing Address - Phone:612-356-2891
Mailing Address - Fax:
Practice Address - Street 1:816 S FRONT ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-2401
Practice Address - Country:US
Practice Address - Phone:612-356-2891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional