Kristin K Goracke, MA | |
4133 Iowa St, Alexandria, MN 56308-3316 | |
(320) 762-8851 | |
(651) 925-0057 |
Full Name | Kristin K Goracke |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4133 Iowa St, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972871275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 2540 (Minnesota) | Primary |
Entity Name | Village Family Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040623001223 |
Mailing Address | Practice Location Address |
---|---|
Kristin K Goracke, MA 7066 Stillwater Blvd N, Saint Paul, MN 55128-3937 Ph: (651) 295-7474 | Kristin K Goracke, MA 4133 Iowa St, Alexandria, MN 56308-3316 Ph: (320) 762-8851 |
Nicole Sayre, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4133 Iowa St, Alexandria, MN 56308 Phone: 701-746-4584 | |
Krystina Weiss, LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4133 Iowa St Ste 105, Alexandria, MN 56308 Phone: 320-762-8851 Fax: 651-925-0057 | |
Victoria Soltis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 Northside Dr Ne Ste 5, Alexandria, MN 56308 Phone: 320-762-8851 Fax: 320-762-8550 | |
Benjamin G Wenzel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 512 30th Ave S, Ste 100, Alexandria, MN 56308 Phone: 320-768-5411 Fax: 320-462-0829 | |
Whitney Lick, LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4133 Iowa St Ste 105, Alexandria, MN 56308 Phone: 320-762-8851 Fax: 651-925-0057 | |
Sarah L Flaten, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4133 Iowa St Ste 105, Alexandria, MN 56308 Phone: 320-762-8851 Fax: 651-925-0057 | |
Paula Joyelle Odland, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1210 Broadway St., Suite 200, Alexandria, MN 56308 Phone: 320-491-2303 Fax: 320-762-6541 |