Ashley Kimmell, | |
410 Central Ave N, Faribault, MN 55021-5217 | |
(507) 331-3454 | |
Not Available |
Full Name | Ashley Kimmell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 410 Central Ave N, 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 |
---|---|---|---|
1427819648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4226 (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 |
---|---|
Ashley Kimmell, 2575 Harvest Ln, Owatonna, MN 55060-4305 Ph: (507) 446-0431 | Ashley Kimmell, 410 Central Ave N, Faribault, MN 55021-5217 Ph: (507) 331-3454 |
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 | |
Amy Kyle Pfau, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 128 8th Ave Nw, Faribault, MN 55021 Phone: 507-333-6480 Fax: 507-333-6484 | |
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 | |
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 |