| Fraser Child And Family Center | |
|
3333 University Ave Se Minneapolis MN 55414-3325 | |
| (612) 331-9413 | |
| (612) 728-5301 |
| Full Name | Fraser Child And Family Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3333 University Ave Se, Minneapolis, Minnesota |
| Authorized Official Name and Position | James D Olson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6127988320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraser Child And Family Center 2400 W 64th St Richfield MN 55423-1001 Ph: (612) 861-1688 | Fraser Child And Family Center 3333 University Ave Se Minneapolis MN 55414-3325 Ph: (612) 331-9413 |
| NPI Number | 1609922194 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Medicare PECOS PAC ID | 3971918772 |
|---|---|
| Medicare Enrollment ID | O20210208002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609922194 | NPI | - | NPPES |
| 094026700 | Medicaid | MN |
| Provider Name | Cheri L Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902141526 PECOS PAC ID: 0648244020 Enrollment ID: I20040823000157 |
| Provider Name | Mary K Haack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336336254 PECOS PAC ID: 4082771258 Enrollment ID: I20090316000600 |
| Provider Name | Kathleen Field-tabaka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427351568 PECOS PAC ID: 3577728385 Enrollment ID: I20120628000677 |
| Provider Name | Miranda Jean Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114148798 PECOS PAC ID: 3476863895 Enrollment ID: I20151113001442 |
| Provider Name | Stacy M Piere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295984896 PECOS PAC ID: 9032402730 Enrollment ID: I20160718001869 |
| Provider Name | Nicole Buatala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985257 PECOS PAC ID: 2860758851 Enrollment ID: I20171107003224 |
| Provider Name | Jael A Jaffe-talberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952751240 PECOS PAC ID: 5294021374 Enrollment ID: I20180228001351 |
| Provider Name | Jennica J Tomassoni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578054896 PECOS PAC ID: 2163772732 Enrollment ID: I20180830002978 |
| Provider Name | Linnea G Borer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932759941 PECOS PAC ID: 2365773264 Enrollment ID: I20191008000074 |
| Provider Name | Eileen Marzullo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215338835 PECOS PAC ID: 6800226457 Enrollment ID: I20200422000444 |
| Provider Name | Angela Marie Buell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548826852 PECOS PAC ID: 8527473347 Enrollment ID: I20210209000191 |
| Provider Name | Abdigani Abdirahman Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376151837 PECOS PAC ID: 9931514213 Enrollment ID: I20210218001735 |
| Provider Name | Celia Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760004113 PECOS PAC ID: 0446668180 Enrollment ID: I20210420000275 |
| Provider Name | Jessica Marie Skaare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861080376 PECOS PAC ID: 7113335399 Enrollment ID: I20210428001752 |
| Provider Name | Emma Iverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841682093 PECOS PAC ID: 0446651434 Enrollment ID: I20210629000048 |
| Provider Name | Tomas John Wildenborg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023395282 PECOS PAC ID: 6305247339 Enrollment ID: I20210629001290 |
| Provider Name | Niki M Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396211553 PECOS PAC ID: 8820499734 Enrollment ID: I20210630000335 |
| Provider Name | Bridget Kathleen Cauley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922590710 PECOS PAC ID: 8022419803 Enrollment ID: I20210630002823 |
| Provider Name | Melissa Jean Macklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538514906 PECOS PAC ID: 6103227848 Enrollment ID: I20210701000968 |
| Provider Name | Emily Lu Honken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861529083 PECOS PAC ID: 7618378357 Enrollment ID: I20210701001109 |
| Provider Name | Rebecca Lynn Pagel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922452564 PECOS PAC ID: 1254733884 Enrollment ID: I20210706001145 |
| Provider Name | Marissa Elaine Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306230487 PECOS PAC ID: 0345642872 Enrollment ID: I20210707001028 |
| Provider Name | Jessica Erin Vaughan-jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699203570 PECOS PAC ID: 9830591247 Enrollment ID: I20210707003868 |
| Provider Name | Kristi Marie Swenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437429289 PECOS PAC ID: 1052713369 Enrollment ID: I20210709000047 |
| Provider Name | Lindsey Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326654682 PECOS PAC ID: 7214339548 Enrollment ID: I20210709000406 |
| Provider Name | Alea Joy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689119539 PECOS PAC ID: 5698177939 Enrollment ID: I20210709000774 |
| Provider Name | Samara Jean Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040814 PECOS PAC ID: 3274935523 Enrollment ID: I20210709001228 |
| Provider Name | Julie Lynn Gagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588725055 PECOS PAC ID: 3476955691 Enrollment ID: I20210712000763 |
| Provider Name | Elana M Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316386675 PECOS PAC ID: 9739581844 Enrollment ID: I20210713000537 |
| Provider Name | Kimberly A Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780712265 PECOS PAC ID: 2365844495 Enrollment ID: I20210713001336 |
| Provider Name | Sarah Thukral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053727263 PECOS PAC ID: 7416359443 Enrollment ID: I20210713001506 |
| Provider Name | Erica Alexandra Beneke-perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376068718 PECOS PAC ID: 2668874629 Enrollment ID: I20210713002885 |
| Provider Name | Jessica Ann Leschak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760986657 PECOS PAC ID: 5799187761 Enrollment ID: I20210713003203 |
| Provider Name | Erica Milton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225498272 PECOS PAC ID: 1254733256 Enrollment ID: I20210714000379 |
| Provider Name | Nicholas John Spangler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629548136 PECOS PAC ID: 2567864440 Enrollment ID: I20210714003596 |
| Provider Name | Theresa Bozic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669692232 PECOS PAC ID: 4183026065 Enrollment ID: I20210714003695 |
| Provider Name | Jessica Ladner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457941387 PECOS PAC ID: 3072915800 Enrollment ID: I20210715001958 |
| Provider Name | Brittany Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881054773 PECOS PAC ID: 3375945116 Enrollment ID: I20210715002331 |
| Provider Name | Valerie Lardinois |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477973022 PECOS PAC ID: 0941602726 Enrollment ID: I20210715003925 |
| Provider Name | Lauren Boelter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952854051 PECOS PAC ID: 0042613739 Enrollment ID: I20210719001491 |
| Provider Name | Lily M Pieper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295055671 PECOS PAC ID: 3173926813 Enrollment ID: I20210719003365 |
| Provider Name | Aric Michael Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124239942 PECOS PAC ID: 0345400024 Enrollment ID: I20210720000183 |
| Provider Name | Brita Osland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164958559 PECOS PAC ID: 1052714615 Enrollment ID: I20210721000005 |
| Provider Name | Gretchen Marie Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871757054 PECOS PAC ID: 5597168062 Enrollment ID: I20210721000970 |
| Provider Name | Karin Lou Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952376246 PECOS PAC ID: 0042613408 Enrollment ID: I20210722000683 |
| Provider Name | Julisa A Duenas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346623469 PECOS PAC ID: 5597168906 Enrollment ID: I20210722002967 |
| Provider Name | Mariko Ortner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265998074 PECOS PAC ID: 7012310386 Enrollment ID: I20210723001708 |
| Provider Name | Allisa Prokopanko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437560836 PECOS PAC ID: 2163825480 Enrollment ID: I20210724000091 |
| Provider Name | Erik De Water |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013557057 PECOS PAC ID: 2365845690 Enrollment ID: I20210726000238 |
| Provider Name | Kaitlin Marie Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578100913 PECOS PAC ID: 6800299926 Enrollment ID: I20210728000246 |
| Provider Name | Carli J Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588805766 PECOS PAC ID: 6901209956 Enrollment ID: I20210728001414 |
| Provider Name | Jessica K Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205383676 PECOS PAC ID: 8527461318 Enrollment ID: I20210730003155 |
| Provider Name | Frances Carolyn Adair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790197002 PECOS PAC ID: 1456755909 Enrollment ID: I20210806000043 |
| Provider Name | Shannon Casey Harrelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518554930 PECOS PAC ID: 2860896156 Enrollment ID: I20210809002929 |
| Provider Name | Marisa Anne Hutterer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821689894 PECOS PAC ID: 5193129328 Enrollment ID: I20210810001055 |
| Provider Name | John David Hoch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083106447 PECOS PAC ID: 5799180444 Enrollment ID: I20210819000081 |
| Provider Name | Nora Elizabeth Bacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679985154 PECOS PAC ID: 9739584046 Enrollment ID: I20210825001923 |
| Provider Name | Brenda Janice Crespo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720117997 PECOS PAC ID: 3971908195 Enrollment ID: I20210825002529 |
| Provider Name | Adam Brosz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457024267 PECOS PAC ID: 5496150674 Enrollment ID: I20210826000705 |
| Provider Name | Hillary Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982942728 PECOS PAC ID: 1850662131 Enrollment ID: I20210826001509 |
| Provider Name | Kari Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205280039 PECOS PAC ID: 1355746462 Enrollment ID: I20210826002213 |
| Provider Name | Brooke Elizabeth Soller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275126179 PECOS PAC ID: 8820494818 Enrollment ID: I20210830002944 |
| Provider Name | Elizabeth Hinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790453595 PECOS PAC ID: 9830587161 Enrollment ID: I20211019001930 |
| Provider Name | Taylor Elise Cravey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841804432 PECOS PAC ID: 1951799220 Enrollment ID: I20211020000112 |
| Provider Name | Arminda Mary Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538838594 PECOS PAC ID: 9133517303 Enrollment ID: I20211021001323 |
| Provider Name | Gabrielle Kate Leahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164187191 PECOS PAC ID: 5597156414 Enrollment ID: I20220103000142 |
| Provider Name | Laura Jean Purdham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396401220 PECOS PAC ID: 8921491390 Enrollment ID: I20220207002061 |
| Provider Name | Lian Helen Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124788724 PECOS PAC ID: 6103210711 Enrollment ID: I20220224002210 |
| Provider Name | Marissa Elizabeth Gilligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205583192 PECOS PAC ID: 1254727175 Enrollment ID: I20220401000934 |
| Provider Name | Catherine Butler Avery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184872897 PECOS PAC ID: 5991971376 Enrollment ID: I20220407002645 |
| Provider Name | Erin Grace King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508513573 PECOS PAC ID: 1254727464 Enrollment ID: I20220414001619 |
| Provider Name | Sarah Elizabeth Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750983813 PECOS PAC ID: 8729461926 Enrollment ID: I20220822001617 |
| Provider Name | Abbi Reineccius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912632498 PECOS PAC ID: 6507249612 Enrollment ID: I20220822002227 |
| Provider Name | Sarah Rose Thiry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942937909 PECOS PAC ID: 8123402989 Enrollment ID: I20220829002863 |
| Provider Name | Michael Richard Awbrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689392912 PECOS PAC ID: 7416332101 Enrollment ID: I20220915003898 |
| Provider Name | Kimberly C Bourassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104590660 PECOS PAC ID: 8527434869 Enrollment ID: I20221012000665 |
| Provider Name | Sara Julsrud Holtman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609276260 PECOS PAC ID: 7113393836 Enrollment ID: I20221021000604 |
| Provider Name | Danielle Elizabeth Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144946229 PECOS PAC ID: 3870960479 Enrollment ID: I20221111000634 |
| Provider Name | Alyssa Marie Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780392571 PECOS PAC ID: 2365811486 Enrollment ID: I20221213001339 |
| Provider Name | Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144930553 PECOS PAC ID: 0244600179 Enrollment ID: I20230110001298 |
| Provider Name | Amie Joy Wetzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891408720 PECOS PAC ID: 5395117170 Enrollment ID: I20230203000518 |
| Provider Name | Taylor Marie Bridgeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912611476 PECOS PAC ID: 5092187716 Enrollment ID: I20230207000260 |
| Provider Name | Olivia Jo Sheehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417661745 PECOS PAC ID: 4486026960 Enrollment ID: I20230209001384 |
| Provider Name | Alyssa Meriah Lovgren-montecillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265148183 PECOS PAC ID: 0941672117 Enrollment ID: I20230216001003 |
| Provider Name | Romae Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619674074 PECOS PAC ID: 1850764085 Enrollment ID: I20230308002287 |
| Provider Name | Kallie Nicole Uner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295486074 PECOS PAC ID: 2062887979 Enrollment ID: I20230406001966 |
| Provider Name | Alexandra Caroline Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881320125 PECOS PAC ID: 3375918659 Enrollment ID: I20230419001796 |
| Provider Name | James Scott Kassel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386330934 PECOS PAC ID: 0042676090 Enrollment ID: I20230516003650 |
| Provider Name | Emma Mae Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144910621 PECOS PAC ID: 0244699668 Enrollment ID: I20230703002456 |
| Provider Name | Allison Irene Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881371029 PECOS PAC ID: 4385004266 Enrollment ID: I20230725000048 |
| Provider Name | Sarita M Wachsmuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407536832 PECOS PAC ID: 0941663850 Enrollment ID: I20230824004214 |
| Provider Name | Daniel Joseph Silversmith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942329602 PECOS PAC ID: 4284088089 Enrollment ID: I20230927003957 |
| Provider Name | Kayla M Simonson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568241008 PECOS PAC ID: 4688029648 Enrollment ID: I20231011000617 |
| Provider Name | Lacey Rose Zawacki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457029357 PECOS PAC ID: 5395190276 Enrollment ID: I20231012001662 |
| Provider Name | Clare Eileen Schuetz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023356771 PECOS PAC ID: 5395193072 Enrollment ID: I20231120001715 |
| Provider Name | Kelsey Janay Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891569265 PECOS PAC ID: 6103275060 Enrollment ID: I20231218002426 |
| Provider Name | Leah Marie Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265036016 PECOS PAC ID: 5799135398 Enrollment ID: I20231222000431 |
| Provider Name | Katie Mary Elizabeth Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336804756 PECOS PAC ID: 4880044395 Enrollment ID: I20231226001286 |
| Provider Name | Karen Lynn Hailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558887273 PECOS PAC ID: 9931559234 Enrollment ID: I20231228003499 |
| Provider Name | Daniel Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043088529 PECOS PAC ID: 5991155293 Enrollment ID: I20231228003661 |
| Provider Name | Zackary Youssef Hajj-ali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609554179 PECOS PAC ID: 0648620781 Enrollment ID: I20240102001423 |
| Provider Name | Hannah Rose Klimek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649875717 PECOS PAC ID: 0840640991 Enrollment ID: I20240102001650 |
| Provider Name | George Ann Loftis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669119327 PECOS PAC ID: 9830549989 Enrollment ID: I20240102001681 |
| Provider Name | Carolyn Sporer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790149938 PECOS PAC ID: 3870943921 Enrollment ID: I20240102001921 |
| Provider Name | Tarah Lynn Groettum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417699901 PECOS PAC ID: 5799135885 Enrollment ID: I20240102003044 |
| Provider Name | Christa Rose Erickson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124631742 PECOS PAC ID: 4385094325 Enrollment ID: I20240103001095 |
| Provider Name | Kriss Regan Sjostrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164088589 PECOS PAC ID: 8527418573 Enrollment ID: I20240103001603 |
| Provider Name | Jordan Thomas Lyseng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326735366 PECOS PAC ID: 1759732746 Enrollment ID: I20240103003469 |
| Provider Name | Courteney Felten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942766324 PECOS PAC ID: 3577914563 Enrollment ID: I20240103003477 |
| Provider Name | Ashley M Dubord |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821509456 PECOS PAC ID: 6406207406 Enrollment ID: I20240103003779 |
| Provider Name | Erika Marie Smits |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346991379 PECOS PAC ID: 8224489265 Enrollment ID: I20240104000340 |
| Provider Name | Olivia Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134817679 PECOS PAC ID: 0042661829 Enrollment ID: I20240105001005 |
| Provider Name | Meaghan Zegar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942606173 PECOS PAC ID: 9830540475 Enrollment ID: I20240109001157 |
| Provider Name | Callie Nina Dunbar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023887403 PECOS PAC ID: 6709237241 Enrollment ID: I20240109001378 |
| Provider Name | Melissa Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558024786 PECOS PAC ID: 1254782709 Enrollment ID: I20240109001706 |
| Provider Name | Amber Holly Bloom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972004828 PECOS PAC ID: 9931550423 Enrollment ID: I20240109003033 |
| Provider Name | Jennifer S Whitcomb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982186128 PECOS PAC ID: 9739530239 Enrollment ID: I20240109003501 |
| Provider Name | Keary Jenks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235637802 PECOS PAC ID: 3274984661 Enrollment ID: I20240110002432 |
| Provider Name | Taylor Katherine Wall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649959008 PECOS PAC ID: 1658722079 Enrollment ID: I20240110003547 |
| Provider Name | Lucy Kapustka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093582413 PECOS PAC ID: 0345691630 Enrollment ID: I20240111001270 |
| Provider Name | Samantha Lorene Truog |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982363347 PECOS PAC ID: 1254782469 Enrollment ID: I20240111002075 |
| Provider Name | Michelle Lee Manger-plant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952940744 PECOS PAC ID: 7113378324 Enrollment ID: I20240111002251 |
| Provider Name | Amber Max |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881112365 PECOS PAC ID: 8224489455 Enrollment ID: I20240111003046 |
| Provider Name | Jennifer Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568987378 PECOS PAC ID: 5597116780 Enrollment ID: I20240112000152 |
| Provider Name | Layla Ali Abdi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356899124 PECOS PAC ID: 8527419654 Enrollment ID: I20240112001794 |
| Provider Name | Elise M Blahnik |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639635527 PECOS PAC ID: 6608228713 Enrollment ID: I20240113000413 |
| Provider Name | Sarah Birchler Wise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659740561 PECOS PAC ID: 4082066022 Enrollment ID: I20240116001680 |
| Provider Name | Taylor Paige Voeller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053916429 PECOS PAC ID: 6709238470 Enrollment ID: I20240118000478 |
| Provider Name | Lindsey Kay Christopherson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205430329 PECOS PAC ID: 3678925047 Enrollment ID: I20240122002039 |
| Provider Name | Anastasia Jankord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215707138 PECOS PAC ID: 0143672444 Enrollment ID: I20240123002080 |
| Provider Name | Amanda Marie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114446572 PECOS PAC ID: 1052763240 Enrollment ID: I20240124000463 |
| Provider Name | Bryan Mccormick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518345107 PECOS PAC ID: 4880047950 Enrollment ID: I20240125002125 |
| Provider Name | Brooke Marie Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770916322 PECOS PAC ID: 3577916519 Enrollment ID: I20240126000249 |
| Provider Name | Rachael Kowalchuk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538931456 PECOS PAC ID: 2668825431 Enrollment ID: I20240129000695 |
| Provider Name | Katelyn Jane Rykhus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376244848 PECOS PAC ID: 5193178994 Enrollment ID: I20240129001580 |
| Provider Name | Kelcie M Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851996128 PECOS PAC ID: 8628421377 Enrollment ID: I20240129003713 |
| Provider Name | Jessica Hase |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306204078 PECOS PAC ID: 1254784911 Enrollment ID: I20240129004160 |
| Provider Name | Brianca Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477255305 PECOS PAC ID: 4082067616 Enrollment ID: I20240130001983 |
| Provider Name | Justine Mettling |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952756470 PECOS PAC ID: 6204289887 Enrollment ID: I20240131000128 |
| Provider Name | Chartel Hawkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235795923 PECOS PAC ID: 1759734197 Enrollment ID: I20240201001234 |
| Provider Name | Emily Colwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114707528 PECOS PAC ID: 4183077555 Enrollment ID: I20240201002157 |
| Provider Name | Kayla Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053172734 PECOS PAC ID: 3577916865 Enrollment ID: I20240202002171 |
| Provider Name | Alicia Ann Petroff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750742458 PECOS PAC ID: 0244673598 Enrollment ID: I20240205000094 |
| Provider Name | Rochelle Ann Kruszka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417317504 PECOS PAC ID: 1557704426 Enrollment ID: I20240207002546 |
| Provider Name | Joseph Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760786180 PECOS PAC ID: 7315380938 Enrollment ID: I20240209002755 |
| Provider Name | Catherine Emily O'brien |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104362367 PECOS PAC ID: 1850734245 Enrollment ID: I20240213003298 |
| Provider Name | Tandra Jefferson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447951793 PECOS PAC ID: 3971947375 Enrollment ID: I20240213004002 |
| Provider Name | Sarah Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386133387 PECOS PAC ID: 6901240332 Enrollment ID: I20240214000134 |
| Provider Name | Trisha Matter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114322369 PECOS PAC ID: 9335583632 Enrollment ID: I20240214002869 |
| Provider Name | Jordan Brandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285120550 PECOS PAC ID: 4486098605 Enrollment ID: I20240215002829 |
| Provider Name | Jessica Nicole Morriss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790216687 PECOS PAC ID: 2264876481 Enrollment ID: I20240215002954 |
| Provider Name | Jenna Marie House |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174278816 PECOS PAC ID: 7315381548 Enrollment ID: I20240215003093 |
| Provider Name | Gretchen Phung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992248231 PECOS PAC ID: 8527402585 Enrollment ID: I20240216004213 |
| Provider Name | Jennifer Ruth Starks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215319538 PECOS PAC ID: 6103260807 Enrollment ID: I20240221003015 |
| Provider Name | Ann A. P. Fisher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700150992 PECOS PAC ID: 6901240514 Enrollment ID: I20240221003930 |
| Provider Name | Amber Dawn Haley-grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326587619 PECOS PAC ID: 7618312190 Enrollment ID: I20240224000496 |
| Provider Name | Samantha Jean Galema |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386256345 PECOS PAC ID: 7416392816 Enrollment ID: I20240226000740 |
| Provider Name | Samantha Jo Luedtke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831845346 PECOS PAC ID: 3375988793 Enrollment ID: I20240226001291 |
| Provider Name | Cassandra Jarvi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992233753 PECOS PAC ID: 1254776602 Enrollment ID: I20240226002464 |
| Provider Name | Marcie Susan Goehring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871184739 PECOS PAC ID: 0547605743 Enrollment ID: I20240227004241 |
| Provider Name | Alissa Heinonen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407356793 PECOS PAC ID: 9234574468 Enrollment ID: I20240228000440 |
| Provider Name | Mckenzie Rose Hirt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184266926 PECOS PAC ID: 1052756285 Enrollment ID: I20240228000445 |
| Provider Name | Gabrielle Eden Nordstrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538653969 PECOS PAC ID: 0042655284 Enrollment ID: I20240228000815 |
| Provider Name | Elizabeth Rose Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649904277 PECOS PAC ID: 0547605784 Enrollment ID: I20240228001012 |
| Provider Name | Heather Krug |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245528397 PECOS PAC ID: 5991140147 Enrollment ID: I20240228001430 |
| Provider Name | Laura Russell-reyna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487236048 PECOS PAC ID: 2961847033 Enrollment ID: I20240228002367 |
| Provider Name | Brittney Anne Donley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659005320 PECOS PAC ID: 2567807548 Enrollment ID: I20240229001488 |
| Provider Name | Emma Rose Kosciolek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992284467 PECOS PAC ID: 0446695431 Enrollment ID: I20240229001978 |
| Provider Name | Sarah Anne Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962875328 PECOS PAC ID: 3678918513 Enrollment ID: I20240229004290 |
| Provider Name | Shawna Mae Huelsnitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003301243 PECOS PAC ID: 7618312570 Enrollment ID: I20240301000152 |
| Provider Name | Rachael Wacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336710128 PECOS PAC ID: 3072959519 Enrollment ID: I20240307000530 |
| Provider Name | Jillian Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295259638 PECOS PAC ID: 5496191942 Enrollment ID: I20240307000663 |
| Provider Name | Sarah Lynne Danielson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902165590 PECOS PAC ID: 0345686226 Enrollment ID: I20240314000125 |
| Provider Name | Taylor Guernsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609589787 PECOS PAC ID: 9537506266 Enrollment ID: I20240318001678 |
| Provider Name | Tara Betz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962986612 PECOS PAC ID: 2264879113 Enrollment ID: I20240327001488 |
| Provider Name | Claire Cathleen Hysell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598054157 PECOS PAC ID: 8022455898 Enrollment ID: I20240328002117 |
| Provider Name | Sadichhya Shakya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053916189 PECOS PAC ID: 2567809346 Enrollment ID: I20240328002620 |
| Provider Name | Jessica Lyn Ayub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558125187 PECOS PAC ID: 1850739665 Enrollment ID: I20240329000198 |
| Provider Name | Julie Ann Schmidt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699093617 PECOS PAC ID: 4981042595 Enrollment ID: I20240402001787 |
| Provider Name | Paula A Ploetz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740787787 PECOS PAC ID: 0244678878 Enrollment ID: I20240402002640 |
| Provider Name | Megan Elizabeth Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164960811 PECOS PAC ID: 8325486723 Enrollment ID: I20240404001408 |
| Provider Name | Sara Haubrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871028712 PECOS PAC ID: 9739527649 Enrollment ID: I20240410002489 |
| Provider Name | Taylor Nicole Woon Hee Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578298253 PECOS PAC ID: 3375981251 Enrollment ID: I20240411000734 |
| Provider Name | Jessica Enneking |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801220181 PECOS PAC ID: 4880033869 Enrollment ID: I20240424000414 |
| Provider Name | Meghan P Rajkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033701867 PECOS PAC ID: 5193267896 Enrollment ID: I20240610002748 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Resilient Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E 48th St Ste 5, Minneapolis, MN 55417 Phone: 651-802-8302 | |
The Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 200, Minneapolis, MN 55404 Phone: 612-596-9438 Fax: 612-329-4500 |