Compass Counseling Center Pllc | |
808 Washington Ave Ste 34 Detroit Lakes MN 56501-3039 | |
(218) 234-0188 | |
Not Available |
Full Name | Compass Counseling Center Pllc |
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Speciality | Counselor |
Location | 808 Washington Ave Ste 34, Detroit Lakes, Minnesota |
Authorized Official Name and Position | Colton Friesen (OWNER/COUNSELOR) |
Authorized Official Contact | 2182340188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compass Counseling Center Pllc 420 Lake St Lake Park MN 56554-4205 Ph: (218) 234-0188 | Compass Counseling Center Pllc 808 Washington Ave Ste 34 Detroit Lakes MN 56501-3039 Ph: (218) 234-0188 |
NPI Number | 1104695527 |
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Provider Enumeration Date | 12/27/2023 |
Last Update Date | 12/28/2023 |
Certification Date | 12/28/2023 |
Medicare PECOS PAC ID | 8729428719 |
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Medicare Enrollment ID | O20240424001395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104695527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Colton John Friesen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093498818 PECOS PAC ID: 7416305339 Enrollment ID: I20240424001462 |
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