Lance Johnson, LPCC | |
407 Washington St, Monticello, MN 55362-8815 | |
(763) 271-5340 | |
(763) 271-5350 |
Full Name | Lance Johnson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 407 Washington St, Monticello, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013682558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC02301 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
---|---|
Lance Johnson, LPCC 62300 328th St, Watkins, MN 55389-7625 Ph: (320) 292-0911 | Lance Johnson, LPCC 407 Washington St, Monticello, MN 55362-8815 Ph: (763) 271-5340 |
Mrs. Kathleen Rose-penkala Massmann, LPCC AND M,S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362 Phone: 637-323-3517 Fax: 763-322-5026 | |
Katy Helaine Sturm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 Fax: 763-295-5086 | |
Robert Paul Wendell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 Fax: 763-295-5086 | |
Adrienne Amanda Paulson, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 Fax: 763-295-5086 | |
Catherine Cecilia Carlson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 Fax: 763-295-5086 | |
Jennifer Marie Blesi, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 |