Mikki K Mason, LMFT, LADC | |
9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | |
(763) 308-8619 | |
Not Available |
Full Name | Mikki K Mason |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 9245 Quantrelle Ave Ne, Otsego, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003578758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304777 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 4150 (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 |
Mailing Address | Practice Location Address |
---|---|
Mikki K Mason, LMFT, LADC 5645 Green Circle Dr Apt 200, Minnetonka, MN 55343-9658 Ph: (612) 532-1020 | Mikki K Mason, LMFT, LADC 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 Ph: (763) 308-8619 |
Jennifer Lynn Geryol, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-703-6962 Fax: 651-925-0071 | |
Jane Pollock Johnson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Lisa Anne Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Barbara B Cuppett, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-633-3800 Fax: 763-633-3808 | |
Allison C Benz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Ste 102, Otsego, MN 55330 Phone: 612-217-4241 Fax: 612-239-0141 | |
Leah Corder, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330 Phone: 763-309-1005 Fax: 651-222-9727 | |
John William Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |