Gilbert K Ghong, LPCC | |
8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 | |
(651) 254-8580 | |
Not Available |
Full Name | Gilbert K Ghong |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 8550 Hudson Blvd N, Lake Elmo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164061420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 4358 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Gilbert K Ghong, LPCC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 746-2392 | Gilbert K Ghong, LPCC 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 Ph: (651) 254-8580 |
Faduma Abdullahi Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9420 4th St N, Lake Elmo, MN 55042 Phone: 612-867-5647 | |
Vicki Rae Novak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-379-0448 | |
Ms. Karen Marie Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Cimarron, Lake Elmo, MN 55042 Phone: 612-715-2486 | |
Shelby Lynn Leske, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Mrs. Holly M Pickard, MS Counselor Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Miss Elisa Laura Bachmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-383-4459 |