Katelyn M Bolte, | |
8670 210th St W, Lakeville, MN 55044-7000 | |
(800) 438-1772 | |
(262) 345-5562 |
Full Name | Katelyn M Bolte |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8670 210th St W, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700340171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Wisconsin Lutheran Child And Family Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20130627000261 |
Mailing Address | Practice Location Address |
---|---|
Katelyn M Bolte, W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (888) 685-9522 | Katelyn M Bolte, 8670 210th St W, Lakeville, MN 55044-7000 Ph: (800) 438-1772 |
Heather Leann Wegner, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16233 Kenyon Ave, Lakeville, MN 55044 Phone: 800-438-1772 Fax: 262-293-9737 | |
Anna Marie Groen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St. W.,, Lakeville, MN 55044 Phone: 952-564-6281 Fax: 952-435-6797 | |
Jennifer Tessness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Ms. Julia Swedberg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10591 165th St W, Lakeville, MN 55044 Phone: 952-898-1133 Fax: 952-435-6797 | |
Tracy Kotval, MA, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10535 165th St W, Lakeville, MN 55044 Phone: 612-787-2297 | |
Mrs. Michelle Marie Rude, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10535 165th St W, Lakeville, MN 55044 Phone: 952-435-0022 |