Hollis Wunderlich, LPCC is a
Counselor - Mental Health based in Faribault, Minnesota. Hollis Wunderlich is licensed to practice in Minnesota (license number CC01537) and her current practice location is
122 Central Ave N, Faribault, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 491-4848.
NPI number for Hollis Wunderlich is 1235668427 and her current mailing address is Po Box 431, Faribault, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235668427.
Healthcare Provider's Profile
| Full Name | Hollis Wunderlich |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 122 Central Ave N, Faribault, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235668427
- Provider Enumeration Date: 06/09/2017
- Last Update Date: 01/04/2019
Medical Identifiers
Medical identifiers for Hollis Wunderlich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235668427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | CC01537 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | CC01537 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hollis Wunderlich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hollis Wunderlich, LPCC
Po Box 431,
Faribault, MN 55021-0431
Ph: () - | Hollis Wunderlich, LPCC
122 Central Ave N,
Faribault, MN 55021
Ph: (507) 491-4848 |
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