Tiffany Faye Vanderziel, MA, LPCC | |
201 N Broad St Ste 200, Mankato, MN 56001-3569 | |
(507) 335-1500 | |
(507) 225-1501 |
Full Name | Tiffany Faye Vanderziel |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 201 N Broad St Ste 200, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003391012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | CC02622 (Minnesota) | Primary |
Entity Name | Fernbrook Family Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Faye Vanderziel, MA, LPCC 201 N Broad St Ste 200, Mankato, MN 56001-3569 Ph: (507) 225-1500 | Tiffany Faye Vanderziel, MA, LPCC 201 N Broad St Ste 200, Mankato, MN 56001-3569 Ph: (507) 335-1500 |
Trevor Allen Schabert, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 201 N Broad St Ste 200, Mankato, MN 56001 Phone: 507-225-1500 Fax: 507-225-1501 | |
Stephanie Sanetel-siatsis, MS, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 510 Sibley St, Mankato, MN 56001 Phone: 507-484-2400 | |
Aaron Geringer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Riverfront Dr Ste 140, Mankato, MN 56001 Phone: 612-460-5881 | |
Wren Leith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Madison Ave Ste 102, Mankato, MN 56001 Phone: 507-345-7012 | |
Katelyn Hillerud, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 322, Mankato, MN 56001 Phone: 507-702-3030 | |
Luke L Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S 2nd St Ste 306, Mankato, MN 56001 Phone: 507-387-1350 |