Alyssa Wennerberg, | |
819 30th Ave S Ste 103d, Moorhead, MN 56560-5000 | |
(701) 428-2327 | |
Not Available |
Full Name | Alyssa Wennerberg |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 819 30th Ave S Ste 103d, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811414857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 912-8-1-17-360 (North Dakota) | Primary |
101YP2500X | Counselor - Professional | 912-8-1-17A (North Dakota) | Secondary |
Entity Name | Village Family Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040623001223 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Wennerberg, 819 30th Ave S Ste 103d, Moorhead, MN 56560-5000 Ph: (701) 428-2327 | Alyssa Wennerberg, 819 30th Ave S Ste 103d, Moorhead, MN 56560-5000 Ph: (701) 428-2327 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |