Erik Gordon Dahl, | |
8120 Penn Ave S Ste 270, Bloomington, MN 55431-1320 | |
(800) 336-5973 | |
(612) 234-4689 |
Full Name | Erik Gordon Dahl |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 8120 Penn Ave S Ste 270, Bloomington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942858659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Catalyst Mental Health, Gbc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134490147 PECOS PAC ID: 1355500752 Enrollment ID: O20120305000103 |
Mailing Address | Practice Location Address |
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Erik Gordon Dahl, Po Box 8459, Portland, OR 97207-8459 Ph: () - | Erik Gordon Dahl, 8120 Penn Ave S Ste 270, Bloomington, MN 55431-1320 Ph: (800) 336-5973 |
Abdulhakim D Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Humboldt Ave S, Bloomington, MN 55431 Phone: 952-454-0421 Fax: 952-426-4935 | |
Ashley Ripley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2267 | |
Zaynab Abdirahman Abdullahi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 612-226-0907 | |
Ido Ahmed Weli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 612-226-0907 | |
Adna Mohamud, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 612-226-0907 | |
Faith Gakii Rwitoh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 952-332-7736 | |
Amar Deeq Yussuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 American Blvd E Ste 19, Bloomington, MN 55425 Phone: 952-212-0358 |