Randi Joy Butwin, LMFT | |
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
(651) 267-5000 | |
Not Available |
Full Name | Randi Joy Butwin |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 701 Hewitt Blvd, Red Wing, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740864503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4418 (Minnesota) | Primary |
106H00000X | Marriage & Family Therapist | 123349 (California) | Secondary |
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 |
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Randi Joy Butwin, LMFT 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 | Randi Joy Butwin, LMFT 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Mr. Ralph Simcox, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 Tyler Rd S, Red Wing, MN 55066 Phone: 651-977-5001 | |
Ms. Michelle Denise Moser, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 309 Bush St, Suite #1, Red Wing, MN 55066 Phone: 651-301-1369 Fax: 651-388-4850 | |
Abby Janelle Villaran, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 426 West Ave, Red Wing, MN 55066 Phone: 651-385-3232 |