Mrs Marsha Wichmann, MS | |
800 Holiday Dr Ste 170, Moorhead, MN 56560-4400 | |
(218) 293-4221 | |
(218) 231-8914 |
Full Name | Mrs Marsha Wichmann |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 800 Holiday Dr Ste 170, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073901666 | NPI | - | NPPES |
Entity Name | Autonomy Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437781515 PECOS PAC ID: 6305283847 Enrollment ID: O20240320001753 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marsha Wichmann, MS 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Mrs Marsha Wichmann, MS 800 Holiday Dr Ste 170, Moorhead, MN 56560-4400 Ph: (218) 293-4221 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |