Cisco Javier Cole, MA, LMFT | |
8085 Wayzata Blvd Ste 203, St Louis Park, MN 55426-1461 | |
(612) 296-3800 | |
Not Available |
Full Name | Cisco Javier Cole |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 8085 Wayzata Blvd Ste 203, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063149656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4007 (Minnesota) | Primary |
Entity Name | Lighthouse Psychological Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548428170 PECOS PAC ID: 3072948389 Enrollment ID: O20200115000170 |
Mailing Address | Practice Location Address |
---|---|
Cisco Javier Cole, MA, LMFT 969 6th St E, Saint Paul, MN 55106-4505 Ph: (612) 750-6655 | Cisco Javier Cole, MA, LMFT 8085 Wayzata Blvd Ste 203, St Louis Park, MN 55426-1461 Ph: (612) 296-3800 |
Matthew E Olson, L.M.F.T. Couples Therapy Medicare: Medicare Enrolled Practice Location: 4601 Excelsior Blvd Ste 335, St Louis Park, MN 55416 Phone: 612-568-7819 | |
Mrs. Lori Ann Brown-de Alba, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898 | |
Ms. Callie Joyce Mcmillan, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416 Phone: 612-483-4994 | |
Abigail R Driessen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898 | |
Jeffery Allen Nelson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6465 Wayzata Blvd Ste 710, St Louis Park, MN 55426 Phone: 612-735-8002 Fax: 651-413-3003 | |
Rachel Wang, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416 Phone: 612-787-2832 |