| Eunoia Family Resource Center Pa | |
|
1420 N State St Fairmont MN 56031-3619 | |
| (507) 235-6070 | |
| Not Available |
| Full Name | Eunoia Family Resource Center Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1420 N State St, Fairmont, Minnesota |
| Authorized Official Name and Position | Ramie Marlin Vetter (OWNER) |
| Authorized Official Contact | 5072356070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eunoia Family Resource Center Pa 1420 N State St Fairmont MN 56031-3619 Ph: (507) 235-6070 | Eunoia Family Resource Center Pa 1420 N State St Fairmont MN 56031-3619 Ph: (507) 235-6070 |
| NPI Number | 1891961710 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 09/25/2012 |
| Medicare PECOS PAC ID | 7214003680 |
|---|---|
| Medicare Enrollment ID | O20080909000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891961710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Scott M Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437159712 PECOS PAC ID: 0840191755 Enrollment ID: I20040115000035 |
| Provider Name | Ramie M Vetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992803175 PECOS PAC ID: 2860568235 Enrollment ID: I20080909000277 |
| Provider Name | Emily K Ovrebo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407051915 PECOS PAC ID: 1153506712 Enrollment ID: I20110425000480 |
| Provider Name | Erin Haytaian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149968 PECOS PAC ID: 5395996854 Enrollment ID: I20201103001282 |
| Provider Name | Jesse Elise Vanleeuwe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932502366 PECOS PAC ID: 4789023417 Enrollment ID: I20240415002326 |
| Provider Name | Katie Christina Christianson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164129896 PECOS PAC ID: 8325480759 Enrollment ID: I20240530001337 |
| Provider Name | Laura Emily Dekok |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518749084 PECOS PAC ID: 8426591728 Enrollment ID: I20240614001664 |
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