Laura Ellen Mitchell, | |
480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | |
(763) 236-3800 | |
Not Available |
Full Name | Laura Ellen Mitchell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 480 Osborne Rd Ne Ste 260, Fridley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417668625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3616 (Minnesota) | Primary |
Entity Name | Eagan Counseling Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326 |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
---|---|
Laura Ellen Mitchell, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Laura Ellen Mitchell, 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 Ph: (763) 236-3800 |
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105 | |
Matthew John Fritscher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
David Alan Wood, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612 | |
Andrea N Ellena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 612-273-4636 | |
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370 | |
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288 |