Mary Lee, LICSW | |
329 Faribault Rd, Faribault, MN 55021-5780 | |
(507) 334-1983 | |
(507) 333-2307 |
Full Name | Mary Lee |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 39 Years |
Location | 329 Faribault Rd, Faribault, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659470409 | NPI | - | NPPES |
14947 | Other | MN | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 14947 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedar House Inc | 8729975479 | 3 |
Entity Name | Cedar House Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952321424 PECOS PAC ID: 8729975479 Enrollment ID: O20040228000100 |
Mailing Address | Practice Location Address |
---|---|
Mary Lee, LICSW 329 Faribault Rd, Faribault, MN 55021-5780 Ph: (507) 334-1983 | Mary Lee, LICSW 329 Faribault Rd, Faribault, MN 55021-5780 Ph: (507) 334-1983 |
Raegan Rose Bissonett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 651-304-0307 | |
Leonel Zuniga, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-646-8970 Fax: 833-974-2090 | |
Amy Kyle Pfau, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 128 8th Ave Nw, Faribault, MN 55021 Phone: 507-333-6480 Fax: 507-333-6484 | |
Kristine Marie Owen-katona, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0257 | |
Ashley Kimmell, Counselor Medicare: Medicare Enrolled Practice Location: 410 Central Ave N, Faribault, MN 55021 Phone: 507-331-3454 | |
Kari L Hansen, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 | |
Cassi Budahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Central Ave N, Faribault, MN 55021 Phone: 507-446-0431 |