Amy Kyle Pfau, LPCC | |
128 8th Ave Nw, Faribault, MN 55021-5067 | |
(507) 333-6480 | |
(507) 333-6484 |
Full Name | Amy Kyle Pfau |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 128 8th Ave Nw, Faribault, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265715619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC00160 (Minnesota) | Primary |
Entity Name | Fernbrook Family Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
Mailing Address | Practice Location Address |
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Amy Kyle Pfau, LPCC 128 8th Ave Nw, Faribault, MN 55021-5067 Ph: (507) 333-6480 | Amy Kyle Pfau, LPCC 128 8th Ave Nw, Faribault, MN 55021-5067 Ph: (507) 333-6480 |
Raegan Rose Bissonett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 651-304-0307 | |
Leonel Zuniga, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-646-8970 Fax: 833-974-2090 | |
Kristine Marie Owen-katona, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0257 | |
Ashley Kimmell, Counselor Medicare: Medicare Enrolled Practice Location: 410 Central Ave N, Faribault, MN 55021 Phone: 507-331-3454 | |
Kari L Hansen, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 | |
Cassi Budahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Central Ave N, Faribault, MN 55021 Phone: 507-446-0431 |