Traci Page, MA LPCC LADC | |
200 5th St Nw Ste E, Elk River, MN 55330-5711 | |
(763) 458-2967 | |
(763) 260-5150 |
Full Name | Traci Page |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 200 5th St Nw Ste E, Elk River, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346659307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303916 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | 0311 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
---|---|
Traci Page, MA LPCC LADC 5560 145th Cir Nw, Ramsey, MN 55303-5168 Ph: (763) 458-2967 | Traci Page, MA LPCC LADC 200 5th St Nw Ste E, Elk River, MN 55330-5711 Ph: (763) 458-2967 |
Alyssa Catherine Wentworth, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18336 Joplin St Nw, Elk River, MN 55330 Phone: 763-350-9687 | |
Sheila Ann Selinsky, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 5, Elk River, MN 55330 Phone: 763-237-3505 Fax: 763-237-3505 | |
Heather Jean Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-333-8001 | |
Tyler Antony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381 | |
Mrs. Katherine Lynn Hardy-roth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-633-5111 | |
Mrs. Jade Matraca Blaser, MSW, LADC, LGSW Counselor Medicare: Medicare Enrolled Practice Location: 1230 School St Nw, Elk River, MN 55330 Phone: 763-241-3558 | |
Claudia Wood, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 544 3rd St Nw Ste 210, Elk River, MN 55330 Phone: 612-444-8039 Fax: 612-324-7423 |