Victoria Frye, | |
900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 | |
(612) 706-9630 | |
(612) 706-9617 |
Full Name | Victoria Frye |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 900 Long Lake Rd Ste 160, New Brighton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063734663 | NPI | - | NPPES |
1063734663 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 408 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | (Minnesota) | Primary |
Entity Name | Emily Program Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014 |
Mailing Address | Practice Location Address |
---|---|
Victoria Frye, 5354 Parkdale Dr Ste 200, St Louis Park, MN 55416-1617 Ph: (651) 645-5323 | Victoria Frye, 900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 Ph: (612) 706-9630 |
David M. Kosfeld, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
David Hawkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Mr. Craig Schleisman, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Ms. Allyson May Rose, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 215, New Brighton, MN 55112 Phone: 651-900-0233 | |
Judy Ann Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Road, New Brighton, MN 55112 Phone: 651-628-9566 | |
Emma Fuhrman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Michael J Tschida, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311 |