Alisa R Johnson, LPCC | |
217 Industrial Dr Sw, Willmar, MN 56201-2989 | |
(320) 295-3450 | |
Not Available |
Full Name | Alisa R Johnson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 217 Industrial Dr Sw, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598475212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 3612 (Minnesota) | Primary |
Entity Name | Community Outreach Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245673482 PECOS PAC ID: 1557581543 Enrollment ID: O20140925000054 |
Mailing Address | Practice Location Address |
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Alisa R Johnson, LPCC 12706 County Road 27 Nw, Pennock, MN 56279-8510 Ph: (320) 295-3450 | Alisa R Johnson, LPCC 217 Industrial Dr Sw, Willmar, MN 56201-2989 Ph: (320) 295-3450 |
Ms. Cheryl Lee Walter, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 3rd St Sw, Willmar, MN 56201 Phone: 320-231-9763 | |
Michelle Beeman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 4th St Sw, Willmar, MN 56201 Phone: 320-214-8558 Fax: 320-235-2733 | |
Jaime L Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2160 60th Ave Ne, Willmar, MN 56201 Phone: 507-299-0436 | |
Lindsey Maria Borresen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Highway 12 E Ste 2, Willmar, MN 56201 Phone: 320-214-9692 | |
Misty Nelson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 7th St Nw, Willmar, MN 56201 Phone: 320-214-7744 | |
Jessica Lee Bakken, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 60th Ave Ne, Willmar, MN 56201 Phone: 320-905-4345 | |
Carmelita Regina Privatt, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 855-625-7406 |