Mrs Julie Anne De Wilde, MA, LPCC | |
1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | |
(651) 628-9566 | |
Not Available |
Full Name | Mrs Julie Anne De Wilde |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1900 Silver Lake Rd Nw, New Brighton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083168314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01711 (Minnesota) | Primary |
Entity Name | Rush Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801942040 PECOS PAC ID: 8224131750 Enrollment ID: O20070321000265 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie Anne De Wilde, MA, LPCC 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Mrs Julie Anne De Wilde, MA, LPCC 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 |
David M. Kosfeld, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
David Hawkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Mr. Craig Schleisman, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Ms. Allyson May Rose, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 215, New Brighton, MN 55112 Phone: 651-900-0233 | |
Judy Ann Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Road, New Brighton, MN 55112 Phone: 651-628-9566 | |
Emma Fuhrman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Michael J Tschida, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311 |