Ms Heather Marie Larson, LMFT | |
305 30th Ave W, Alexandria, MN 56308-3429 | |
(320) 460-8028 | |
(320) 460-8029 |
Full Name | Ms Heather Marie Larson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 305 30th Ave W, 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 |
---|---|---|---|
1841959665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4436 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Ms Heather Marie Larson, LMFT 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Ms Heather Marie Larson, LMFT 305 30th Ave W, Alexandria, MN 56308-3429 Ph: (320) 460-8028 |
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: Medicare Enrolled 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 |