Kathryn M Kinzer, | |
3701 12th Street, Suite 203, Saint Cloud, MN 56303 | |
(320) 253-3512 | |
(320) 253-1037 |
Full Name | Kathryn M Kinzer |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3701 12th Street, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295116044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC00986 (Minnesota) | Primary |
Entity Name | Psychotherapeutic Resources Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619059755 PECOS PAC ID: 3678523008 Enrollment ID: O20050124000980 |
Mailing Address | Practice Location Address |
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Kathryn M Kinzer, 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1718 | Kathryn M Kinzer, 3701 12th Street, Suite 203, Saint Cloud, MN 56303 Ph: (320) 253-3512 |
Emmanuel Oppong, Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne Ste 209, Saint Cloud, MN 56304 Phone: 320-237-6996 | |
Billy M Anderson, LICSW LADC Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne, 209, Saint Cloud, MN 56304 Phone: 320-259-7706 Fax: 320-251-4590 | |
Benedict A Walz, MS MDV MAC LADC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301 Phone: 320-252-5781 Fax: 320-252-5001 | |
Tonya Sharon Klug, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 13th St N, Saint Cloud, MN 56303 Phone: 320-252-5010 Fax: 320-203-1855 | |
Hamdi Mahat Sirat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358 | |
Nasro Aden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 612-707-7530 | |
Laylo Salad Guled, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358 |