Stephanie Brey, LPCC | |
10990 95th St Ne, Otsego, MN 55362-8149 | |
(763) 329-7195 | |
(952) 448-6047 |
Full Name | Stephanie Brey |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 10990 95th St Ne, Otsego, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366070070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC02329 (Minnesota) | Primary |
Entity Name | Northstar Regional |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659764587 PECOS PAC ID: 8921346669 Enrollment ID: O20190228000530 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Brey, LPCC 500 Marschall Rd Ste 300, Shakopee, MN 55379-2690 Ph: (952) 856-3932 | Stephanie Brey, LPCC 10990 95th St Ne, Otsego, MN 55362-8149 Ph: (763) 329-7195 |
Mikki K Mason, LMFT, LADC Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 | |
Mr. Larone R Greer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7667 Palisades Ave Ne, Otsego, MN 55330 Phone: 612-281-1629 | |
Heather Jo Voss, MHP, ADC-T Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 Fax: 763-746-3685 | |
Amber Rose Sellin, MA Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Kevin Alan Augustin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Dimitri M Tsampis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Elizabeth Ryan, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |