Keo Sengsavang, | |
4361 Bear Path Trl, Eagan, MN 55122-2218 | |
(612) 234-2397 | |
Not Available |
Full Name | Keo Sengsavang |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4361 Bear Path Trl, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063965721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2883 (Minnesota) | Primary |
Entity Name | Sengsavang Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306419007 PECOS PAC ID: 0547600694 Enrollment ID: O20240506004548 |
Mailing Address | Practice Location Address |
---|---|
Keo Sengsavang, 4361 Bear Path Trl, Eagan, MN 55122-2218 Ph: (612) 234-2397 | Keo Sengsavang, 4361 Bear Path Trl, Eagan, MN 55122-2218 Ph: (612) 234-2397 |
Dr. Kai Yuken Gunty, PHD, LMFT, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3459 Washington Dr Ste 102, Eagan, MN 55122 Phone: 952-913-1776 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Scarlett Heather Oconnell, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8228 Fax: 651-454-3492 | |
Mr. Timothy J. Ruden, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Slater Rd Ste 120, Eagan, MN 55122 Phone: 651-882-5161 |