Leah Marie Jackson, | |
2400 W 64th St, Richfield, MN 55423-1001 | |
(612) 798-8356 | |
(612) 798-5301 |
Full Name | Leah Marie Jackson |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2400 W 64th St, 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 |
---|---|---|---|
1265036016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
Mailing Address | Practice Location Address |
---|---|
Leah Marie Jackson, 6335 Lyndale Ave S Apt 107, Richfield, MN 55423-1463 Ph: (612) 798-8356 | Leah Marie Jackson, 2400 W 64th St, Richfield, MN 55423-1001 Ph: (612) 798-8356 |
Carol J Strand, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858 | |
Dr. Mary Jo Isabel Avendano, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6401 Lyndale Ave S, Suite 315, Richfield, MN 55423 Phone: 612-558-2233 | |
Lorene Jabola, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1550 E 78th St Fl 1, Richfield, MN 55423 Phone: 612-767-1683 | |
Stacy A Proulx, MA, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6607 18th Ave S, Suite 201, Richfield, MN 55423 Phone: 612-455-4040 Fax: 612-455-4041 | |
Chris Bezenson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6425 Nicollet Ave, Richfield, MN 55423 Phone: 612-798-8184 | |
Mr. Daniel G. Beyers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6425 Nicollet Ave, Richfield, MN 55423 Phone: 612-861-1675 Fax: 612-861-3446 |