| Addiction Counseling Treatment Services | |
|
112 5th St. Gaylord MN 55334 | |
| (507) 238-2716 | |
| (507) 237-2736 |
| Full Name | Addiction Counseling Treatment Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 112 5th St., Gaylord, Minnesota |
| Authorized Official Name and Position | Daniel J. Ruesgen (DIRECTOR) |
| Authorized Official Contact | 5072372716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Counseling Treatment Services 112 5th St. P.o. Box 700 Gaylord MN 55334 Ph: (507) 238-2716 | Addiction Counseling Treatment Services 112 5th St. Gaylord MN 55334 Ph: (507) 238-2716 |
| NPI Number | 1376633743 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376633743 | NPI | - | NPPES |
| 340090500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10422051CDT (Minnesota) | Primary |
Rachel Swenson Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 230 4th St, Gaylord, MN 55334 Phone: 507-276-9496 | |
Overson Family Based Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47205 336th St, Gaylord, MN 55334 Phone: 507-327-4064 Fax: 507-237-2647 |