Max Richard Stoltenberg, MC, LPCC | |
5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 | |
(763) 330-2774 | |
(763) 330-2775 |
Full Name | Max Richard Stoltenberg |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5700 Bottineau Blvd Ste 210, Crystal, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184870610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3699 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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 |
---|---|
Max Richard Stoltenberg, MC, LPCC 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Max Richard Stoltenberg, MC, LPCC 5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 Ph: (763) 330-2774 |
Ms. Melodee Jean Benson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 633-302-7747 Fax: 763-330-2775 | |
Laura Lee Haeg, MA, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Winnetka Ave N, Crystal, MN 55427 Phone: 126-313-8872 | |
Ms. Marian Eckhardt, PSYD, LP Counselor Medicare: Accepting Medicare Assignments Practice Location: 8025 34th Pl N, Crystal, MN 55427 Phone: 612-393-7885 Fax: 763-546-8577 | |
Kirsten Adank, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 | |
Colleen Noel Bayer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 | |
Jennifer Ann Malley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3263 Xenia Ave N, Crystal, MN 55422 Phone: 701-238-6862 |