Mrs Tami Yvonne Wesselink, LICSW | |
1210 5th Ave, Worthington, MN 56187-2432 | |
(507) 372-2155 | |
(507) 372-2179 |
Full Name | Mrs Tami Yvonne Wesselink |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1210 5th Ave, Worthington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467082099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
Entity Name | Southwestern Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487654562 PECOS PAC ID: 7012816812 Enrollment ID: O20031231000148 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tami Yvonne Wesselink, LICSW 117 S Spring St # 686, Luverne, MN 56156-1916 Ph: (507) 935-2111 | Mrs Tami Yvonne Wesselink, LICSW 1210 5th Ave, Worthington, MN 56187-2432 Ph: (507) 372-2155 |
Malea Beeson Stoesz, Counselor Medicare: Medicare Enrolled Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-376-4141 | |
Charlotte Rose Heinz, MS, LPCC, LPC-MH Counselor Medicare: Medicare Enrolled Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-376-4141 | |
Erika Warren, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-376-4141 | |
Kori Jill Guza, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-376-4141 Fax: 507-376-4494 | |
Kathy Gruis, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-376-4141 Fax: 507-376-4494 | |
Jennifer Rae Peters, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 7th Ave, Worthington, MN 56187 Phone: 507-329-5087 |