Peggy Martin, LPCC | |
3675 Ihduhapi Rd, Loretto, MN 55357-2120 | |
(763) 479-3555 | |
(763) 479-2605 |
Full Name | Peggy Martin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3675 Ihduhapi Rd, Loretto, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992109540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC00869 (Minnesota) | Primary |
Entity Name | Vinland National Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144329632 PECOS PAC ID: 1557516184 Enrollment ID: O20130304000612 |
Mailing Address | Practice Location Address |
---|---|
Peggy Martin, LPCC 3675 Ihduhapi Rd, Loretto, MN 55357-2120 Ph: (763) 479-3555 | Peggy Martin, LPCC 3675 Ihduhapi Rd, Loretto, MN 55357-2120 Ph: (763) 479-3555 |
Mark Thomas Collins, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-3555 Fax: 763-479-2605 | |
Kaija Michelle Muhich, Counselor Medicare: Medicare Enrolled Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-3555 Fax: 763-479-2605 | |
Angie Hyde, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-3555 | |
Ms. Melissa Ann Petoletti, MS, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-3555 Fax: 763-479-2904 | |
Gabriel Storm Becker-finn, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-3555 Fax: 763-479-7130 | |
Ricki Gene Krueger, MA, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3675 Ihduhapi Rd, Loretto, MN 55357 Phone: 763-479-4506 Fax: 763-479-4372 |