| Northstar Counseling Center | |
|
155 Shady Ridge Rd Nw Hutchinson MN 55350-1460 | |
| (320) 234-3451 | |
| (320) 587-0993 |
| Full Name | Northstar Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 155 Shady Ridge Rd Nw, Hutchinson, Minnesota |
| Authorized Official Name and Position | Andrew John Larson (OWNER/OPERATOR) |
| Authorized Official Contact | 3202343451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Counseling Center 155 Shady Ridge Rd Nw Hutchinson MN 55350-1460 Ph: (320) 234-3451 | Northstar Counseling Center 155 Shady Ridge Rd Nw Hutchinson MN 55350-1460 Ph: (320) 234-3451 |
| NPI Number | 1962761981 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 7113469594 |
|---|---|
| Medicare Enrollment ID | O20240613000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962761981 | NPI | - | NPPES |
| 2231893 | Medicaid | MN |
| Provider Name | Andrew John Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750682282 PECOS PAC ID: 9931641313 Enrollment ID: I20240613001068 |
| Provider Name | Amber Gustafson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811442155 PECOS PAC ID: 8628511011 Enrollment ID: I20240613001295 |
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