Megan Fredrickson, MA | |
1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915 | |
(952) 443-4600 | |
Not Available |
Full Name | Megan Fredrickson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1120 Wayzata Blvd E Ste 210, Wayzata, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184257081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC03702 (Minnesota) | Primary |
Entity Name | Lorenz Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081 |
Mailing Address | Practice Location Address |
---|---|
Megan Fredrickson, MA 1435 White Oak Dr, Chaska, MN 55318-2667 Ph: () - | Megan Fredrickson, MA 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915 Ph: (952) 443-4600 |
Devan Kristine Rubio, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391 Phone: 952-443-4600 Fax: 952-443-4604 | |
Melissa Fjelstad, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Shoreline Dr Ste 102, Wayzata, MN 55391 Phone: 952-314-7533 | |
Barbara Joanne Hilleren, MA, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Twelve Oaks Center Dr, Suite 220, Wayzata, MN 55391 Phone: 952-212-6570 Fax: 952-657-7818 | |
Robert Frost, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Gleason Lake Rd Apt 102, Wayzata, MN 55391 Phone: 952-288-8192 | |
Patricia Fitzgibbons Anderson, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Twelve Oaks Center Dr Ste 224, Wayzata, MN 55391 Phone: 952-933-4979 | |
Samuel Paul Wellman, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Twelve Oaks Center Dr Ste 642h, Wayzata, MN 55391 Phone: 952-451-7267 |