Carrie Lois Main, MPS, LADC, LPCC | |
1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | |
(651) 714-9648 | |
Not Available |
Full Name | Carrie Lois Main |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1811 Weir Dr Ste 270, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366051344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304951 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 2512 (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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Carrie Lois Main, MPS, LADC, LPCC 1131 Goodview Ave N, Saint Paul, MN 55128-6129 Ph: (651) 329-5041 | Carrie Lois Main, MPS, LADC, LPCC 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 Ph: (651) 714-9648 |
Amber Langford, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1802 Wooddale Dr Ste 101, Woodbury, MN 55125 Phone: 651-983-7892 Fax: 651-212-4884 | |
Stephanie Odegard, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Sutie 270, Woodbury, MN 55125 Phone: 651-714-9646 | |
Kathleen Engh, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6063 Hudson Rd Ste 200, Woodbury, MN 55125 Phone: 952-460-9029 | |
Mrs. Sarah Fuerst, M.A., LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Commerce Dr, Suite 215, Woodbury, MN 55125 Phone: 651-592-1759 Fax: 651-735-7844 | |
Mr. Warren Joseph Lemay Jr., MS, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1811 Weir Dr, Suite 270, Woodbury, MN 55125 Phone: 651-714-9646 | |
Janel Oberg, LADC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1000 Radio Dr Ste 210, Woodbury, MN 55125 Phone: 651-365-8294 Fax: 651-739-0272 | |
Adaila Lee Dixon, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6063 Hudson Rd Ste 200, Woodbury, MN 55125 Phone: 952-460-9080 |