Geoffrey Gaukler, LCPC, LPCC | |
501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 | |
(701) 777-3691 | |
(701) 777-3845 |
Full Name | Geoffrey Gaukler |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 501 N Columbia Rd Stop 7132, Grand Forks, 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 |
---|---|---|---|
1750016200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8311986 (Idaho) | Primary |
101YP2500X | Counselor - Professional | 921-10-1-17-594 (North Dakota) | Secondary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Geoffrey Gaukler, LCPC, LPCC 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Geoffrey Gaukler, LCPC, LPCC 501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 Ph: (701) 777-3691 |
Courtney Salomonson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1712 Continental Dr Apt 215, Grand Forks, ND 58201 Phone: 605-237-2427 | |
Amanda Weston Caillier, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1811 S Washington St, Grand Forks, ND 58201 Phone: 701-757-3045 | |
Denae Haagenson, M.ED, LPCC, NCC, LP Counselor Medicare: Medicare Enrolled Practice Location: 412 Demers Ave, Grand Forks, ND 58201 Phone: 701-271-1632 Fax: 701-235-7359 | |
Ms. Carlyss Ann Kurtti, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Grand Forks, ND 58201 Phone: 701-235-4457 | |
Shelby Hildenbrand, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1726 S Washington St Ste 33a, Grand Forks, ND 58201 Phone: 701-746-4584 Fax: 651-925-0057 | |
Cheryl Repp-tredway, LPCC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 | |
Deborah Lynn Davis, LPCC, LMAC Counselor Medicare: Medicare Enrolled Practice Location: 2424 32nd Ave S, Suite 202, Grand Forks, ND 58201 Phone: 701-746-6336 Fax: 701-772-1030 |