| Novare Counseling Center, P. A. | |
|
871 Jefferson Ave Saint Paul MN 55102-2506 | |
| (612) 424-9983 | |
| Not Available |
| Full Name | Novare Counseling Center, P. A. |
|---|---|
| Speciality | Counselor |
| Location | 871 Jefferson Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Daniel J Stokman (PRESIDENT) |
| Authorized Official Contact | 6124249983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novare Counseling Center, P. A. 557 7th St W Saint Paul MN 55102-3065 Ph: (651) 587-1807 | Novare Counseling Center, P. A. 871 Jefferson Ave Saint Paul MN 55102-2506 Ph: (612) 424-9983 |
| NPI Number | 1912394099 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 3678019296 |
|---|---|
| Medicare Enrollment ID | O20240719000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912394099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC07 (Minnesota) | Primary |
| Provider Name | Daniel James Stokman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356490890 PECOS PAC ID: 5496291015 Enrollment ID: I20240719000521 |
| Provider Name | Erin Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154164523 PECOS PAC ID: 3678012929 Enrollment ID: I20240829004424 |
| Provider Name | Daniel Robert Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942782909 PECOS PAC ID: 9638601479 Enrollment ID: I20241017001131 |
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