Kathryn Hartman Valine, MA | |
22501 Jason Ave N, Forest Lake, MN 55025-9160 | |
(651) 237-7114 | |
(651) 383-1867 |
Full Name | Kathryn Hartman Valine |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 22501 Jason Ave N, Forest Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881219632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | CC03834 (Minnesota) | Primary |
Entity Name | Whitestone Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427815968 PECOS PAC ID: 0345787511 Enrollment ID: O20240806000827 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Hartman Valine, MA 5865 Neal Ave N # 226, Stillwater, MN 55082-2177 Ph: (651) 237-7114 | Kathryn Hartman Valine, MA 22501 Jason Ave N, Forest Lake, MN 55025-9160 Ph: (651) 237-7114 |
Molly Moravec Heise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-777-5222 Fax: 651-251-5279 | |
Jenny Valkos, MSW, LICSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 4th St Sw, Forest Lake, MN 55025 Phone: 651-464-3685 Fax: 651-464-3687 | |
Lori Quist, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-251-5225 | |
Carolynn M Nelson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N Ste 210, Forest Lake, MN 55025 Phone: 612-672-1502 | |
Laura A D Kunde, LADC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, #109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035 | |
Megan Mikulski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, Suite 12, Forest Lake, MN 55025 Phone: 651-464-2194 | |
Ms. Debra Jeanne Slavik, LPC, LAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15252 W Freeway Dr Ne Ste 1, Forest Lake, MN 55025 Phone: 651-304-7667 |