Andrea Lane, | |
1875 Station Pkwy Nw, Andover, MN 55304 | |
(763) 482-9598 | |
Not Available |
Full Name | Andrea Lane |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1875 Station Pkwy Nw, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760082143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | 305243 (Minnesota) | Primary |
Entity Name | Rum River Counseling, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915 |
Mailing Address | Practice Location Address |
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Andrea Lane, 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: () - | Andrea Lane, 1875 Station Pkwy Nw, Andover, MN 55304 Ph: (763) 482-9598 |
Lauren Keating, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Gary Scott Howard, STUDENT/INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Molly Professional Center ,phase Ii #207, Andover, MN 55304 Phone: 763-755-6290 | |
Brooke Ann Fleming, MS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447 | |
Kellan Vencil, Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Amanda Christine Hohag, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Brian Moore, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Katelyn Hejna, Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 612-413-6629 |