Brandyce R Edson, LPCC, LADC | |
675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | |
(952) 993-3307 | |
Not Available |
Full Name | Brandyce R Edson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 675 E Nicollet Blvd Ste 250, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447895065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304433 (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | CC02005 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Brandyce R Edson, LPCC, LADC 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 Ph: (952) 993-3307 | Brandyce R Edson, LPCC, LADC 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 Ph: (952) 993-3307 |
Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562 | |
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954 | |
Bridgett Littel, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14551 Judicial Rd, Burnsville, MN 55306 Phone: 952-898-5020 | |
John Gawboy, Counselor Medicare: Medicare Enrolled Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690 | |
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517 | |
Donna Louise Martin-wallace, LPCC, LADC, ADCR-MN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991 | |
Bridget Mozina, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14591 Grand Ave Ste 206, Burnsville, MN 55306 Phone: 612-699-3300 Fax: 612-699-4400 |