| Family Attachment And Counseling Center | |
|
102 N Chestnut St Chaska MN 55318-1918 | |
| (952) 475-2818 | |
| (952) 475-3356 |
| Full Name | Family Attachment And Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 102 N Chestnut St, Chaska, Minnesota |
| Authorized Official Name and Position | Anthony Todd Nichols (EXESCUTIVE DIRECTOR) |
| Authorized Official Contact | 9522344632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Attachment And Counseling Center 102 N Chestnut St Chaska MN 55318-1918 Ph: (952) 475-2818 | Family Attachment And Counseling Center 102 N Chestnut St Chaska MN 55318-1918 Ph: (952) 475-2818 |
| NPI Number | 1053485904 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 05/10/2020 |
| Certification Date | 05/10/2020 |
| Medicare PECOS PAC ID | 1052406444 |
|---|---|
| Medicare Enrollment ID | O20071001000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053485904 | NPI | - | NPPES |
| 118447400 | Medicaid | MN | |
| 05142700 | Medicaid | MN |
| Provider Name | Anthony T Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851798979 PECOS PAC ID: 8224123617 Enrollment ID: I20150311001323 |
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