| Ashley Kasson Therapy Pllc | |
|
3220 4th St E West Fargo ND 58078 | |
| (701) 552-6573 | |
| Not Available |
| Full Name | Ashley Kasson Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3220 4th St E, West Fargo, North Dakota |
| Authorized Official Name and Position | Ashley Mauch (OWNER) |
| Authorized Official Contact | 7015526573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Kasson Therapy Pllc 3220 4th St E West Fargo ND 58078 Ph: (701) 552-6573 | Ashley Kasson Therapy Pllc 3220 4th St E West Fargo ND 58078 Ph: (701) 552-6573 |
| NPI Number | 1982205068 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Medicare PECOS PAC ID | 8224446406 |
|---|---|
| Medicare Enrollment ID | O20210428001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982205068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer J Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396170445 PECOS PAC ID: 1759628571 Enrollment ID: I20190131001962 |
| Provider Name | Nancy Nordenstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245988427 PECOS PAC ID: 1052708104 Enrollment ID: I20220420001545 |
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