Jan Hafner, MS | |
9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | |
(763) 746-9492 | |
(763) 746-3685 |
Full Name | Jan Hafner |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 9245 Quantrelle Ave Ne, Otsego, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851548085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC00924 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | CC00924 (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 |
---|---|
Jan Hafner, MS 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 379-1718 | Jan Hafner, MS 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 Ph: (763) 746-9492 |
Mikki K Mason, LMFT, LADC Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 | |
Mr. Larone R Greer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7667 Palisades Ave Ne, Otsego, MN 55330 Phone: 612-281-1629 | |
Heather Jo Voss, MHP, ADC-T Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 Fax: 763-746-3685 | |
Amber Rose Sellin, MA Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Kevin Alan Augustin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Dimitri M Tsampis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Elizabeth Ryan, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |