Marnna Anderson, | |
2720 Fairview Ave N Ste 100, Roseville, MN 55113-1306 | |
(651) 241-5290 | |
Not Available |
Full Name | Marnna Anderson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2720 Fairview Ave N Ste 100, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538936414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 305971 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 4186 (Minnesota) | Primary |
Entity Name | Minnesota Epilepsy Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932118056 PECOS PAC ID: 6709771363 Enrollment ID: O20040220001025 |
Mailing Address | Practice Location Address |
---|---|
Marnna Anderson, 2720 Fairview Ave N Ste 100, Roseville, MN 55113-1306 Ph: (651) 241-5290 | Marnna Anderson, 2720 Fairview Ave N Ste 100, Roseville, MN 55113-1306 Ph: (651) 241-5290 |
Mr. Robert Mills Ritchie Jr., LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 Woodbridge St, Roseville, MN 55113 Phone: 651-773-0832 Fax: 651-773-9115 | |
Cute Jesse Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2837 Matilda St, Roseville, MN 55113 Phone: 901-218-0312 | |
Killy Kitzmann, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2151 Hamline Ave N Ste 200, Roseville, MN 55113 Phone: 651-583-5565 | |
Laurna Kay Blassingame, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3091 Mount Ridge Rd, Roseville, MN 55113 Phone: 612-805-6965 | |
Samantha Hinderks, Counselor Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Suite 411, Roseville, MN 55113 Phone: 651-208-7753 | |
Michael Anthony Branchaud, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2489 Rice St, Suite 90, Roseville, MN 55113 Phone: 651-528-7550 | |
Malaurie Bluhm, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1700 Highway 36 W, Roseville, MN 55113 Phone: 952-460-9085 |