Marisa Erickson, | |
11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 | |
(763) 633-5111 | |
Not Available |
Full Name | Marisa Erickson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11070 183rd Cir Nw Ste C, Elk River, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730940370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC04197 (Minnesota) | Primary |
Entity Name | Hardy & Stephens Counseling Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871659623 PECOS PAC ID: 6305201278 Enrollment ID: O20230518000683 |
Mailing Address | Practice Location Address |
---|---|
Marisa Erickson, 11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 Ph: (763) 633-5111 | Marisa Erickson, 11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 Ph: (763) 633-5111 |
Alyssa Catherine Wentworth, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18336 Joplin St Nw, Elk River, MN 55330 Phone: 763-350-9687 | |
Sheila Ann Selinsky, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 5, Elk River, MN 55330 Phone: 763-237-3505 Fax: 763-237-3505 | |
Heather Jean Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-333-8001 | |
Tyler Antony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381 | |
Mrs. Katherine Lynn Hardy-roth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-633-5111 | |
Mrs. Jade Matraca Blaser, MSW, LADC, LGSW Counselor Medicare: Medicare Enrolled Practice Location: 1230 School St Nw, Elk River, MN 55330 Phone: 763-241-3558 | |
Claudia Wood, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 544 3rd St Nw Ste 210, Elk River, MN 55330 Phone: 612-444-8039 Fax: 612-324-7423 |