David Sabotta, | |
307 S Mantorville Ave, Kasson, MN 55944-1258 | |
(507) 446-0431 | |
Not Available |
Full Name | David Sabotta |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 307 S Mantorville Ave, Kasson, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386235224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC02687 (Minnesota) | Primary |
Entity Name | Fernbrook Family Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
Mailing Address | Practice Location Address |
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David Sabotta, 2575 Harvest Ln, Owatonna, MN 55060-4305 Ph: (507) 446-0431 | David Sabotta, 307 S Mantorville Ave, Kasson, MN 55944-1258 Ph: (507) 446-0431 |
Joan Colleen Ward, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65064 250th Ave, Kasson, MN 55944 Phone: 507-251-6768 | |
Mrs. Karen Staige, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 12th Ave Nw, Kasson, MN 55944 Phone: 507-512-9353 Fax: 507-512-9353 | |
Madisen Dawn Hass, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 7th Ave Ne, Kasson, MN 55944 Phone: 320-980-1058 | |
Nicholas Iversen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 S Mantorville Ave, Kasson, MN 55944 Phone: 507-446-0431 |