Ms Brianne Wolters, | |
114 Main St N Ste 201b, Hutchinson, MN 55350-1819 | |
(612) 554-1532 | |
(320) 753-0779 |
Full Name | Ms Brianne Wolters |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 114 Main St N Ste 201b, 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 |
---|---|---|---|
1639831837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3027 (Minnesota) | Primary |
Entity Name | Woodland Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600 |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Ms Brianne Wolters, 114 Main St N Ste 210b, Hutchinson, MN 55350-1819 Ph: (651) 661-6550 | Ms Brianne Wolters, 114 Main St N Ste 201b, Hutchinson, MN 55350-1819 Ph: (612) 554-1532 |
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 | |
Mr. Larry Richard Bengtson, M.S.E., L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 121 1st Ave Se, Hutchinson, MN 55350 Phone: 855-454-2463 |