Trevor Lecocq, LPCC | |
1056 Centerville Cir, Vadnais Heights, MN 55127-6344 | |
(651) 604-7771 | |
(651) 426-8116 |
Full Name | Trevor Lecocq |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1056 Centerville Cir, Vadnais Heights, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134679707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC01325 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | CC01325 (Minnesota) | Primary |
Entity Name | Parker Collins Family Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487927067 PECOS PAC ID: 8325338031 Enrollment ID: O20160609000216 |
Mailing Address | Practice Location Address |
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Trevor Lecocq, LPCC 1056 Centerville Cir, Vadnais Heights, MN 55127-6344 Ph: (651) 604-7771 | Trevor Lecocq, LPCC 1056 Centerville Cir, Vadnais Heights, MN 55127-6344 Ph: (651) 604-7771 |
Ms. Elizabeth Stolt, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 Talmage Cir Ste 216, Vadnais Heights, MN 55110 Phone: 952-413-5330 Fax: 952-431-5334 | |
Charles L Hohl, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1056 Centerville Cir, Vadnais Heights, MN 55127 Phone: 651-493-2216 | |
Chelsey A Emery Snaza, LICSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 County Road E E Ste 100, Vadnais Heights, MN 55110 Phone: 651-241-9200 | |
Dr. Kelsey Boyea, PSYD, LP Counselor Medicare: Medicare Enrolled Practice Location: Helene Houle Medical Center, 1155 Co Rd E East, Vadnais Heights, MN 55110 Phone: 651-241-9200 | |
Joshua F Januschka, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1056 Centerville Cir, Vadnais Heights, MN 55127 Phone: 651-604-7771 Fax: 651-426-8116 | |
Kelly Elisa Ryan, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3640 Talmage Cir, Ste 210, Vadnais Heights, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335 |