Julie Bosacker, | |
11670 Fountains Dr Ste 200, Maple Grove, MN 55369-7195 | |
(763) 229-7633 | |
Not Available |
Full Name | Julie Bosacker |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 11670 Fountains Dr Ste 200, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043635055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1558 (Minnesota) | Primary |
Entity Name | Family Innovations Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
Mailing Address | Practice Location Address |
---|---|
Julie Bosacker, 11670 Fountains Dr Ste 200, Maple Grove, MN 55369-7195 Ph: (763) 229-7633 | Julie Bosacker, 11670 Fountains Dr Ste 200, Maple Grove, MN 55369-7195 Ph: (763) 229-7633 |
Sarah Nicole Olson Venning, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342 | |
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 | |
Blake Malloy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 | |
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966 | |
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250 | |
Martha Sepulveda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-284-3706 Fax: 763-274-3121 |