C Brook Chace, MA | |
119 Friberg Ave, Fergus Falls, MN 56537-2306 | |
(218) 332-2018 | |
Not Available |
Full Name | C Brook Chace |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 119 Friberg Ave, Fergus 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 |
---|---|---|---|
1295248706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 3178 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
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C Brook Chace, MA 410 E Oak St, Redwood Falls, MN 56283-1149 Ph: () - | C Brook Chace, MA 119 Friberg Ave, Fergus Falls, MN 56537-2306 Ph: (218) 332-2018 |
Barbara K. Young, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 | |
Angela Renner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln Ave Ste 3, Fergus Falls, MN 56537 Phone: 218-998-2992 | |
Ms. Jacinta Rae Putnam, MS, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 119 Friberg Ave, Fergus Falls, MN 56537 Phone: 218-332-2018 | |
Emily Meyer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Friberg Ave, Fergus Falls, MN 56537 Phone: 218-332-2018 | |
Genny Marie Kuhn-rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 980 S Tower Rd, Fergus Falls, MN 56537 Phone: 218-737-0778 | |
Yolana Kaml, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-242-9599 | |
Ms. Megan Sue Kampstra, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 225 W Lincoln Ave Ste 104, Fergus Falls, MN 56537 Phone: 218-531-1424 Fax: 218-531-1420 |