Alicia Petroff, | |
2829 Verndale Ave, Anoka, MN 55303-1620 | |
(763) 233-7263 | |
Not Available |
Full Name | Alicia Petroff |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2829 Verndale Ave, Anoka, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750742458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01178 (Minnesota) | Primary |
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
Mailing Address | Practice Location Address |
---|---|
Alicia Petroff, 2829 Verndale Ave, Anoka, MN 55303-1620 Ph: (763) 233-7263 | Alicia Petroff, 2829 Verndale Ave, Anoka, MN 55303-1620 Ph: (763) 233-7263 |
Jason Eugene Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Greenhaven Rd Ste 204, Anoka, MN 55303 Phone: 763-203-3164 Fax: 651-925-0524 | |
Phakouew Yachai Yang, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 612-924-3807 | |
Julie Bosacker, Counselor Medicare: Medicare Enrolled Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 763-421-5535 Fax: 763-433-0226 | |
Lilliana Floryce Jorgens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 612-924-3807 | |
Nicole Zlate, MA, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 2006 1st Ave Ste 201, Anoka, MN 55303 Phone: 763-647-8188 | |
Ms. Amanda Rose Lemay, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 763-421-5535 Fax: 763-433-0226 | |
Mrs. May Yia Lee Moua, LPCC, (PRE-LICENSED) Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Van Buren St Ste 4b, Anoka, MN 55303 Phone: 763-308-5125 |