| Assessment & Counseling Associates | |
|
522 Beltrami Ave Nw Ste 17 Bemidji MN 56601-3182 | |
| (218) 407-2595 | |
| Not Available |
| Full Name | Assessment & Counseling Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 Beltrami Ave Nw Ste 17, Bemidji, Minnesota |
| Authorized Official Name and Position | Kathryn Jane Faver (INDEPENDENT CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2184413631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assessment & Counseling Associates 522 Beltrami Ave Nw Ste 17 Bemidji MN 56601-3182 Ph: (218) 441-3631 | Assessment & Counseling Associates 522 Beltrami Ave Nw Ste 17 Bemidji MN 56601-3182 Ph: (218) 407-2595 |
| NPI Number | 1164286415 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 3779929419 |
|---|---|
| Medicare Enrollment ID | O20240315002516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164286415 | NPI | - | NPPES |
| Provider Name | Kathryn J Faver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639188543 PECOS PAC ID: 2668441445 Enrollment ID: I20040928001288 |
| Provider Name | Richard Faver |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1346346806 PECOS PAC ID: 6305285214 Enrollment ID: I20240411002395 |
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