Joseph Lee Malhoit Iii, LPCC | |
2365 Ariel St N, Maplewood, MN 55109-2248 | |
(715) 386-7672 | |
Not Available |
Full Name | Joseph Lee Malhoit Iii |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2365 Ariel St N, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942077821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | CC04140 (Minnesota) | Primary |
Entity Name | Minnesota Teen Challenge, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831574797 PECOS PAC ID: 0840656856 Enrollment ID: O20230517002547 |
Mailing Address | Practice Location Address |
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Joseph Lee Malhoit Iii, LPCC 986 Inspiration Pkwy N, Bayport, MN 55003-1613 Ph: (715) 386-7672 | Joseph Lee Malhoit Iii, LPCC 2365 Ariel St N, Maplewood, MN 55109-2248 Ph: (715) 386-7672 |
Mr. Andrew A Johnson, BA BS MSW LICSW LADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 981 Glendon St N, Maplewood, MN 55119 Phone: 612-354-9027 | |
Andrew S Rabe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3090 Hazelwood St Apt 102, Maplewood, MN 55109 Phone: 612-250-5718 | |
Mark Charles Lightner, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Cynthia Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 | |
Stephen Brennan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 White Bear Ave N, Maplewood, MN 55109 Phone: 612-235-4620 | |
Kiley Christine Krocak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Joel Lambrides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 |