Mrs Laura S Larson, LPCC | |
1600 2nd Ave Sw, Suite 27, Minot, ND 58701-3459 | |
(701) 852-8798 | |
(701) 837-5410 |
Full Name | Mrs Laura S Larson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1600 2nd Ave Sw, Minot, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558300707 | NPI | - | NPPES |
25247 | Other | ND | ND BLUE SHIELD NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 466111501131 (North Dakota) | Primary |
Entity Name | Village Family Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura S Larson, LPCC Po Box 9859, Fargo, ND 58106-9859 Ph: (701) 451-4900 | Mrs Laura S Larson, LPCC 1600 2nd Ave Sw, Suite 27, Minot, ND 58701-3459 Ph: (701) 852-8798 |
Jennifer L Lusinger, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kenneth Backen, LICENSED ADDICTION C Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 N Broadway Ste 300, Minot, ND 58703 Phone: 701-537-4191 Fax: 701-786-7174 | |
Madison Schill, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 19th Ave Nw, Minot, ND 58703 Phone: 701-857-4207 Fax: 701-852-1190 | |
Mr. Luis Valencia Coca Iii, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 3rd St Se, Minot, ND 58701 Phone: 701-857-2480 | |
Robert Ramsay, LAC LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway, Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kate Turnbow, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 20 1st St Sw Ste 250, Minot, ND 58701 Phone: 701-852-3328 Fax: 651-925-0057 | |
Michaela Asburry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Burdick Expy E Ste 101, Minot, ND 58701 Phone: 701-335-6005 |