Cute Jesse Lee, | |
2837 Matilda St, Roseville, MN 55113-2418 | |
(901) 218-0312 | |
Not Available |
Full Name | Cute Jesse Lee |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2837 Matilda St, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023388410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2748 (Minnesota) | Primary |
Entity Name | West Side Community Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Mailing Address | Practice Location Address |
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Cute Jesse Lee, 2837 Matilda St, Roseville, MN 55113-2418 Ph: () - | Cute Jesse Lee, 2837 Matilda St, Roseville, MN 55113-2418 Ph: (901) 218-0312 |
Mr. Robert Mills Ritchie Jr., LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 Woodbridge St, Roseville, MN 55113 Phone: 651-773-0832 Fax: 651-773-9115 | |
Killy Kitzmann, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2151 Hamline Ave N Ste 200, Roseville, MN 55113 Phone: 651-583-5565 | |
Laurna Kay Blassingame, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3091 Mount Ridge Rd, Roseville, MN 55113 Phone: 612-805-6965 | |
Samantha Hinderks, Counselor Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Suite 411, Roseville, MN 55113 Phone: 651-208-7753 | |
Ryan N Plasch, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 612-207-9953 | |
Waleed Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2745 Herschel St N Unit A423, Roseville, MN 55113 Phone: 612-707-8900 |