Valerie Wagner, LADC, LPCC | |
603 Bruce St, Crookston, MN 56716-2914 | |
(218) 281-3940 | |
(218) 281-6261 |
Full Name | Valerie Wagner |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 603 Bruce St, Crookston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184191066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2789 (Minnesota) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304025 (Minnesota) | Primary |
Entity Name | Alluma Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508835133 PECOS PAC ID: 6709787609 Enrollment ID: O20040302000004 |
Mailing Address | Practice Location Address |
---|---|
Valerie Wagner, LADC, LPCC Po Box 603, Crookston, MN 56716-0603 Ph: (218) 281-3940 | Valerie Wagner, LADC, LPCC 603 Bruce St, Crookston, MN 56716-2914 Ph: (218) 281-3940 |
Heather Taylor, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Curtis Lee Hamre, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23616 Us Highway 2 Sw, Crookston, MN 56716 Phone: 218-281-9538 Fax: 218-281-9503 | |
Mr. Thomas Manville Reff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9514 | |
Dean Stuart Mortenson, MA,ADCT Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9436 | |
Michael A Graner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9511 | |
Martha Hurtado Mino, LICSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 712 N Front St, Crookston, MN 56716 Phone: 954-668-3621 |