Chris Brendemuhl, | |
207 Jefferson Blvd, Big Lake, MN 55309-4667 | |
(763) 367-6080 | |
Not Available |
Full Name | Chris Brendemuhl |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 207 Jefferson Blvd, Big Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952890469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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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Chris Brendemuhl, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: () - | Chris Brendemuhl, 207 Jefferson Blvd, Big Lake, MN 55309-4667 Ph: (763) 367-6080 |
Mrs. Abigail Rae Wagner, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 | |
Diane Lisa Neal, M.S. , LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Jefferson Blvd Ste 4, Big Lake, MN 55309 Phone: 763-631-6325 | |
Ashley Love, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 | |
Marissa Ragusin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 | |
Sharon M Melin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 | |
Janice C Reker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19580 Station St, Big Lake, MN 55309 Phone: 844-939-3125 | |
Sean Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Jefferson Blvd Ste A, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897 |