Makenna Nosbusch, MA, LPCC | |
6726 Walker Street, St. Louis Park, MN 55426 | |
(612) 444-1520 | |
(612) 416-3151 |
Full Name | Makenna Nosbusch |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6726 Walker Street, St. Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295270429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 02263 (Minnesota) | Primary |
Entity Name | Care Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
Mailing Address | Practice Location Address |
---|---|
Makenna Nosbusch, MA, LPCC 1692 Rosewood Ave S, Maplewood, MN 55109-3633 Ph: (763) 438-6074 | Makenna Nosbusch, MA, LPCC 6726 Walker Street, St. Louis Park, MN 55426 Ph: (612) 444-1520 |
Siciid Shire Ali, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 Park Glen Rd, St. Louis Park, MN 55416 Phone: 952-888-7055 Fax: 612-605-3312 | |
Julie Madsen, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5861 Cedar Lake Road, St. Louis Park, MN 55416 Phone: 612-202-8703 | |
Tammy Nawrocki, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St. Louis Park, MN 55426 Phone: 612-315-7370 | |
Emily Rudert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 Phone: 608-738-8356 | |
Ms. Laine Cecily Hartwell Bermansohn, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 5354 Parkdale Drive, 2nd Floor, St. Louis Park, MN 55416 Phone: 651-645-5323 Fax: 952-746-5962 |