Jenna Marandon Soderbeck, MA, LPCC | |
6425 Nicollet Ave, Richfield, MN 55423-1675 | |
(612) 861-1675 | |
(612) 861-3446 |
Full Name | Jenna Marandon Soderbeck |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6425 Nicollet Ave, Richfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093356297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C02211 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
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Jenna Marandon Soderbeck, MA, LPCC 6425 Nicollet Ave, Richfield, MN 55423-1675 Ph: (612) 861-1675 | Jenna Marandon Soderbeck, MA, LPCC 6425 Nicollet Ave, Richfield, MN 55423-1675 Ph: (612) 861-1675 |
Angela Kristin Saeger, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6636 Cedar Ave S Ste 380, Richfield, MN 55423 Phone: 612-223-6330 Fax: 612-223-6735 | |
Ann Marie Freeman, MA Counselor Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858 | |
Natalie Jean Taber, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858 | |
Rebecca Jane Ellmann, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S, Richfield, MN 55423 Phone: 612-512-1085 Fax: 612-268-5858 | |
Jean R Mersberger, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6607 18th Ave S, Suite 101, Richfield, MN 55423 Phone: 612-385-6310 | |
Mr. Ahmed M Hassan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6701 Penn Ave S Ste 301, Richfield, MN 55423 Phone: 651-276-0607 |