Alexandra Zickermann, | |
9298 Central Ave Ne Ste 310, Blaine, MN 55434-4219 | |
(612) 437-0636 | |
Not Available |
Full Name | Alexandra Zickermann |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 9298 Central Ave Ne Ste 310, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144974221 | NPI | - | NPPES |
3169 | Other | MN | 3169 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3169 (Minnesota) | Primary |
Entity Name | Omni Mental Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891110177 PECOS PAC ID: 1557804390 Enrollment ID: O20240620003130 |
Mailing Address | Practice Location Address |
---|---|
Alexandra Zickermann, 9298 Central Ave Ne Ste 310, Blaine, MN 55434-4219 Ph: () - | Alexandra Zickermann, 9298 Central Ave Ne Ste 310, Blaine, MN 55434-4219 Ph: (612) 437-0636 |
Olivia Marie Walls, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3754 | |
Mary Keller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Dr Ne Ste 120, Blaine, MN 55449 Phone: 763-343-9010 | |
Jennifer Mely, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8525 Davenport St Ne, Blaine, MN 55449 Phone: 763-234-2818 | |
Maryan Warsame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 89th Ave Ne, Blaine, MN 55434 Phone: 703-389-7174 | |
Mrs. Lisa Cassman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12527 Central Ave Ne # 146, Blaine, MN 55434 Phone: 218-252-0233 | |
Jessica Groff, Counselor Medicare: Medicare Enrolled Practice Location: 11331 Jefferson St Ne, Blaine, MN 55434 Phone: 952-201-7324 |