Brooke L Zupancich, MS, LPCC | |
624 13th St S, Virginia, MN 55792-3149 | |
(218) 749-2881 | |
(218) 749-3806 |
Full Name | Brooke L Zupancich |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 624 13th St S, Virginia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063983146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 02000 (Minnesota) | Primary |
Entity Name | Range Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457452823 PECOS PAC ID: 3173434628 Enrollment ID: O20040930000462 |
Mailing Address | Practice Location Address |
---|---|
Brooke L Zupancich, MS, LPCC Po Box 1188, Virginia, MN 55792-1188 Ph: (218) 749-2881 | Brooke L Zupancich, MS, LPCC 624 13th St S, Virginia, MN 55792-3149 Ph: (218) 749-2881 |
Aurora Abbott, Counselor Medicare: Medicare Enrolled Practice Location: 301 9th St S, Virginia, MN 55792 Phone: 218-750-7228 | |
Alan A Abraham, ALCOHOL DRUG COUNSEL Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 S 13th St, Detox Range Treatment Center, Virginia, MN 55792 Phone: 218-741-9120 Fax: 218-741-3170 | |
Gregory Edward Golen, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S 12th Ave W, Virginia, MN 55792 Phone: 218-749-2877 Fax: 218-749-6033 | |
Heidi Ann Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S 12th Ave W Ste 1, Virginia, MN 55792 Phone: 218-749-2877 Fax: 218-749-6033 | |
Drew S. Flaschberger, MSE, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 13th St S, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 | |
Kristine Lee Edstrom, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 S 2nd Ave, Virginia, MN 55792 Phone: 218-212-5700 |