| Full Circle Counseling And Wellness, Pc | |
|
1880 Austin Rd Ste 1 Owatonna MN 55060-4544 | |
| (507) 214-2016 | |
| (507) 214-2017 |
| Full Name | Full Circle Counseling And Wellness, Pc |
|---|---|
| Speciality | Counselor |
| Location | 1880 Austin Rd Ste 1, Owatonna, Minnesota |
| Authorized Official Name and Position | Cheryl D Bissonette (VICE PRESIDENT) |
| Authorized Official Contact | 5072142016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Counseling And Wellness, Pc 1880 Austin Rd Ste 1 Owatonna MN 55060-4544 Ph: (507) 214-2016 | Full Circle Counseling And Wellness, Pc 1880 Austin Rd Ste 1 Owatonna MN 55060-4544 Ph: (507) 214-2016 |
| NPI Number | 1831739788 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 0547643298 |
|---|---|
| Medicare Enrollment ID | O20220813000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831739788 | NPI | - | NPPES |
| Provider Name | Emma Massman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467093005 PECOS PAC ID: 1759717150 Enrollment ID: I20200203002074 |
| Provider Name | Nicole L Cockram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922584069 PECOS PAC ID: 5294162178 Enrollment ID: I20200305002830 |
| Provider Name | Dana M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497390132 PECOS PAC ID: 8628444940 Enrollment ID: I20221011002691 |
| Provider Name | Kathryn E Mouw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962143404 PECOS PAC ID: 4880063866 Enrollment ID: I20221214000864 |
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