Lydia Helen Fruth, LPCC | |
2380 Troop Dr Unit 201, Sartell, MN 56377-4637 | |
(763) 633-5111 | |
Not Available |
Full Name | Lydia Helen Fruth |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2380 Troop Dr Unit 201, Sartell, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043935257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Processus P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740293109 PECOS PAC ID: 2860447604 Enrollment ID: O20050315000535 |
Mailing Address | Practice Location Address |
---|---|
Lydia Helen Fruth, LPCC 812 Edinburgh St, Sartell, MN 56377-1969 Ph: (320) 761-0326 | Lydia Helen Fruth, LPCC 2380 Troop Dr Unit 201, Sartell, MN 56377-4637 Ph: (763) 633-5111 |
Michelle Lynn Kaiser, M.S., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Ellen Ashley Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
David C Rankin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Ms. Allison Page Fassler, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Megan Ann Corrieri, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 14th Ave E, Sartell, MN 56377 Phone: 320-202-1400 Fax: 320-202-8662 | |
Gwen Gareri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 |