Mr Larry Richard Bengtson, MSE, LPCC | |
121 1st Ave Se, Hutchinson, MN 55350-2514 | |
(855) 454-2463 | |
Not Available |
Full Name | Mr Larry Richard Bengtson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 121 1st Ave Se, Hutchinson, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235299660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC00105 (Minnesota) | Primary |
Entity Name | Lighthouse Counseling Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841359270 PECOS PAC ID: 0143685768 Enrollment ID: O20230503001075 |
Mailing Address | Practice Location Address |
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Mr Larry Richard Bengtson, MSE, LPCC 1624 Sequoia Ln, New Richmond, WI 54017-6650 Ph: (651) 238-4673 | Mr Larry Richard Bengtson, MSE, LPCC 121 1st Ave Se, Hutchinson, MN 55350-2514 Ph: (855) 454-2463 |
Carrie Morgando, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Minnesota 7, Hutchinson, MN 55350 Phone: 320-455-9888 | |
Terry Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N Ste 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358 | |
Rochelle E Blair, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-243-5000 | |
Deanna Boettcher, MS Counselor Medicare: Medicare Enrolled Practice Location: 16 Washington Ave W Ste 101, Hutchinson, MN 55350 Phone: 320-632-5524 Fax: 888-991-2741 | |
Mary Lou Kay Hausladen, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N, Suite 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358 | |
Mrs. Ashley Ellen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 1st Ave Se, Hutchinson, MN 55350 Phone: 855-454-2463 |