Nicole Elizabeth Freeman, LPC | |
308 12th Ave S, Buffalo, MN 55313-2321 | |
(763) 682-4400 | |
(763) 682-1353 |
Full Name | Nicole Elizabeth Freeman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 308 12th Ave S, Buffalo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740445675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Main Street Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124534359 PECOS PAC ID: 0143579755 Enrollment ID: O20180815001223 |
Mailing Address | Practice Location Address |
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Nicole Elizabeth Freeman, LPC 1321 13th St N, Saint Cloud, MN 56303-2613 Ph: (320) 252-5010 | Nicole Elizabeth Freeman, LPC 308 12th Ave S, Buffalo, MN 55313-2321 Ph: (763) 682-4400 |
Olivia Mckay Wolff-herda, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Central Ave, Buffalo, MN 55313 Phone: 763-250-7357 Fax: 855-221-4223 | |
Jennifer Ann Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 | |
Emmalynn Pepper Clemmensen, MS, LPCC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 | |
Kayla Kristine Levtzow, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 | |
Holly Rae Fanning, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 | |
Rodney Wade Twedell, BA, CPRP, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 | |
Amanda Lea Szulczewski, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 |