Michael Bousu, MA, LMFT | |
220 Railroad St Se, Pine City, MN 55063-1540 | |
(320) 629-7600 | |
Not Available |
Full Name | Michael Bousu |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 220 Railroad St Se, Pine City, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437870763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4035 (Minnesota) | Primary |
Entity Name | Collaborative Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160909002528 |
Mailing Address | Practice Location Address |
---|---|
Michael Bousu, MA, LMFT 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Michael Bousu, MA, LMFT 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 |
Nathan D Vojtech, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Janice Reich, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Mrs. Linda M Richnofsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Therapeutic Services Agency Inc, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Mr. Bruce A Oleary, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Therapeutic Services Agency Inc, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Thomas M Staloch, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 | |
Christine Jayne Harnack, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-250-0071 |