Alyssa Ann Larson, | |
7954 University Ave Ne, Fridley, MN 55432-1860 | |
(763) 780-3036 | |
Not Available |
Full Name | Alyssa Ann Larson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7954 University Ave Ne, Fridley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881161271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
Entity Name | Amherst H. Wilder Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548337355 PECOS PAC ID: 0941288922 Enrollment ID: O20110526000442 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Ann Larson, 168 97th Ave Ne, Blaine, MN 55434-1312 Ph: (763) 772-6852 | Alyssa Ann Larson, 7954 University Ave Ne, Fridley, MN 55432-1860 Ph: (763) 780-3036 |
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105 | |
Matthew John Fritscher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
David Alan Wood, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612 | |
Andrea N Ellena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 612-273-4636 | |
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370 | |
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288 |