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720 8th Ave N Saint Cloud MN 56303-3420 | |
| (320) 333-9228 | |
| (320) 251-0217 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 720 8th Ave N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Rebecca Ann Cluever (OWNER) |
| Authorized Official Contact | 3204071110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
720 8th Ave N Saint Cloud MN 56303-3420 Ph: (320) 407-1110 | 720 8th Ave N Saint Cloud MN 56303-3420 Ph: (320) 333-9228 |
| NPI Number | 1104359157 |
|---|---|
| Provider Enumeration Date | 04/06/2017 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 7113467440 |
|---|---|
| Medicare Enrollment ID | O20240912002751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104359157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer K Lund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023780335 PECOS PAC ID: 1153710306 Enrollment ID: I20211110000882 |
| Provider Name | Rebecca Ann Cluever |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225315880 PECOS PAC ID: 2668912999 Enrollment ID: I20240912002870 |
| Provider Name | Heather Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710115860 PECOS PAC ID: 1658742259 Enrollment ID: I20241003003468 |
| Provider Name | Noel Kern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629519434 PECOS PAC ID: 1557892361 Enrollment ID: I20241003003901 |
| Provider Name | Brittany Reinke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942710249 PECOS PAC ID: 7214468859 Enrollment ID: I20241007001630 |
| Provider Name | Alex Gregory |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023426020 PECOS PAC ID: 7315478823 Enrollment ID: I20241008000550 |
| Provider Name | Stacy Kriese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245596352 PECOS PAC ID: 3779015508 Enrollment ID: I20241017000877 |
| Provider Name | Marie Bourne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922463173 PECOS PAC ID: 1355875501 Enrollment ID: I20241111000523 |
| Provider Name | Carrie Gapinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043086465 PECOS PAC ID: 9638604465 Enrollment ID: I20241203000753 |
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