Charline Bengtson, | |
105 2nd Ave Ne Ste 110, Glenwood, MN 56334-1226 | |
(320) 428-0744 | |
(320) 438-2829 |
Full Name | Charline Bengtson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 105 2nd Ave Ne Ste 110, Glenwood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487032926 | NPI | - | NPPES |
1487032926 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 11524 (South Dakota) | Secondary |
106H00000X | Marriage & Family Therapist | 3047 (Minnesota) | Primary |
Entity Name | North Country Counseling Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982115390 PECOS PAC ID: 7517409691 Enrollment ID: O20240604002833 |
Mailing Address | Practice Location Address |
---|---|
Charline Bengtson, 105 2nd Ave Ne Ste 110, Glenwood, MN 56334-1226 Ph: (320) 428-0744 | Charline Bengtson, 105 2nd Ave Ne Ste 110, Glenwood, MN 56334-1226 Ph: (320) 428-0744 |
Cassandra Brix, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 105 2nd Ave Ne Ste 110, Glenwood, MN 56334 Phone: 320-223-2382 Fax: 320-438-2829 | |
Mr. Michael David Flaten, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 Phone: 320-634-3446 Fax: 320-634-0384 |