Angela Rae Hiebsch, | |
120 Labree Ave S, Thief River Falls, MN 56701-2819 | |
(218) 683-4349 | |
(218) 683-2595 |
Full Name | Angela Rae Hiebsch |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 120 Labree Ave S, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992239628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01459 (Minnesota) | Primary |
Entity Name | Sanford Health Of Northern Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Entity Name | Sanford Health Network North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Entity Name | Sanford Health Network North |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
Mailing Address | Practice Location Address |
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Angela Rae Hiebsch, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Angela Rae Hiebsch, 120 Labree Ave S, Thief River Falls, MN 56701-2819 Ph: (218) 683-4349 |
Mr. Mark Andre Dupont, MA LP LADC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Miranda Elizabeth Solem, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4354 | |
Emily Jane Schuster, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Labree Ave N, Thief River Falls, MN 56701 Phone: 218-681-5048 | |
Nicole Marie Brandt, LGSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Labree Ave N Ste 100, Thief River Falls, MN 56701 Phone: 218-683-5141 | |
Courtney M Peters, LPC-S, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Arnold Ave N, Thief River Falls, MN 56701 Phone: 701-795-8550 | |
Hillary Grace Hittner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 3rd St E, Thief River Falls, MN 56701 Phone: 218-755-5050 | |
Trell Ann Kulju, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362 |