Heather George, | |
540 E 1st St, Waconia, MN 55387-1600 | |
(952) 442-4437 | |
Not Available |
Full Name | Heather George |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 540 E 1st St, Waconia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003942582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4513 (Minnesota) | Primary |
106H00000X | Marriage & Family Therapist | MFT 43136 (California) | Secondary |
Entity Name | Carver County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326049685 PECOS PAC ID: 8527041961 Enrollment ID: O20040609000094 |
Mailing Address | Practice Location Address |
---|---|
Heather George, 540 E 1st St, Waconia, MN 55387-1600 Ph: (952) 442-4437 | Heather George, 540 E 1st St, Waconia, MN 55387-1600 Ph: (952) 442-4437 |
Tracy M Davis, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Kayla Marie Scott, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 712 Vista Blvd, #13, Waconia, MN 55387 Phone: 612-500-6913 | |
Erica Bossert, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Susan Marie Jensen, MA, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Emily Palyan, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Tracey Rochelle Kistner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9352 Oak Ave, Waconia, MN 55387 Phone: 952-955-4714 |