Christine J Bushy, | |
224 4th St Nw Ste 5, Devils Lake, ND 58301-2960 | |
(701) 662-6776 | |
(701) 662-6889 |
Full Name | Christine J Bushy |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 224 4th St Nw Ste 5, Devils Lake, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811228075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 630-3-15-09A (North Dakota) | Secondary |
101YP2500X | Counselor - Professional | 630-3-15-09-316 (North Dakota) | Primary |
Entity Name | Village Family Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
Mailing Address | Practice Location Address |
---|---|
Christine J Bushy, 1201 25th St S, Po Box 9859, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Christine J Bushy, 224 4th St Nw Ste 5, Devils Lake, ND 58301-2960 Ph: (701) 662-6776 |
Emily E Larsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Mrs. Adalia M Mccrea, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Co Lake Region Human Service Center, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Chelsey Simonsen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Cindy Kilmer, BMOD, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Phillip Delaney, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Kevin Ross Juntunen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Kerste Decoteau, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |