| The Guidance Group Inc | |
|
222 E Superior St Ste 302 Duluth MN 55802-2277 | |
| (218) 576-5757 | |
| (844) 576-5767 |
| Full Name | The Guidance Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 E Superior St Ste 302, Duluth, Minnesota |
| Authorized Official Name and Position | Daniel Mark Maki (PRESIDENT) |
| Authorized Official Contact | 2185765757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guidance Group Inc Po Box 161462 Duluth MN 55816-1462 Ph: (218) 576-5757 | The Guidance Group Inc 222 E Superior St Ste 302 Duluth MN 55802-2277 Ph: (218) 576-5757 |
| NPI Number | 1528470648 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 1052654746 |
|---|---|
| Medicare Enrollment ID | O20190521001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528470648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Maija Lucille Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174916639 PECOS PAC ID: 1557682051 Enrollment ID: I20150609002897 |
| Provider Name | Jessica Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772072 PECOS PAC ID: 4486982840 Enrollment ID: I20190822002200 |
| Provider Name | Francy Jenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265667646 PECOS PAC ID: 4183057904 Enrollment ID: I20191210001458 |
| Provider Name | Jessica Ladner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457941387 PECOS PAC ID: 3072915800 Enrollment ID: I20210715001958 |
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