Keith Warren Munson, | |
3450 Oleary Ln, Eagan, MN 55123-2340 | |
(651) 365-8523 | |
(651) 454-3492 |
Full Name | Keith Warren Munson |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 3450 Oleary Ln, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306420310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 3565 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | (Minnesota) | Primary |
Entity Name | Wild Tree Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431 |
Mailing Address | Practice Location Address |
---|---|
Keith Warren Munson, 3109 201st St W, Farmington, MN 55024-9346 Ph: (651) 269-8523 | Keith Warren Munson, 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 365-8523 |
Dr. Corey Eugene Yeager, COREY YEAGER, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4290 Fox Ridge Rd, Eagan, MN 55122 Phone: 612-312-6107 | |
David Dipasquale, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr Ste 110, Eagan, MN 55122 Phone: 651-317-4993 | |
Jessica Christine Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr Ste 109, Eagan, MN 55122 Phone: 651-412-5088 | |
Jennifer Dalsveen Greseth, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr Ste 109, Eagan, MN 55122 Phone: 612-430-4265 | |
Whitney Marie Richardson, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1590 Thomas Center Dr Ste 102, Eagan, MN 55122 Phone: 952-295-3375 | |
Nancy Nutting Cohen, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4555 Erin Dr, Suite 260, Eagan, MN 55122 Phone: 651-686-8818 | |
Dr. Erin Margaret-campell Shields, DMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1963 |