Diane M Cragoe, LMFT | |
1875 Northwestern Ave S, Stillwater, MN 55082 | |
(651) 439-4840 | |
(651) 439-4840 |
Full Name | Diane M Cragoe |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1875 Northwestern Ave S, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063526762 | NPI | - | NPPES |
28G34CR | Other | BCBS | |
878520100 | Medicaid | MA | |
1010159 | Other | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 0869 (Minnesota) | Primary |
Entity Name | Familymeans |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881690899 PECOS PAC ID: 9830085182 Enrollment ID: O20040224001224 |
Mailing Address | Practice Location Address |
---|---|
Diane M Cragoe, LMFT 12432 Marquess Way N, Lake Elmo, MN 55042 Ph: () - | Diane M Cragoe, LMFT 1875 Northwestern Ave S, Stillwater, MN 55082 Ph: (651) 439-4840 |
Elizabeth Mcmillen Campbell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6381 Osgood Ave N Bldg C, Stillwater, MN 55082 Phone: 612-217-4569 Fax: 651-383-4544 | |
Rosemary Ann Senjem, MA LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 305 Greeley St S Ste 105, Stillwater, MN 55082 Phone: 651-337-1038 Fax: 651-337-1038 | |
Jonathan Boorman, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 | |
Rachel Ruth Dowling, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1875 Northwester Avenue South, Stillwater, MN 55082 Phone: 165-178-9403 Fax: 651-439-4894 | |
Shante Sookhlall Hanson, LMFT, RN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5995 Oren Ave N Ste 209, Stillwater, MN 55082 Phone: 612-524-9237 Fax: 612-314-8317 | |
Barbara Jean Shock Lemire, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1751 Tower Dr W, Stillwater, MN 55082 Phone: 651-439-2059 |