| Ashley Kimmell, | |
|
410 Central Ave N, Faribault, MN 55021-5217 | |
| (507) 331-3454 | |
| Not Available |
| Full Name | Ashley Kimmell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 410 Central Ave N, Faribault, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427819648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4226 (Minnesota) | Primary |
| Entity Name | Fernbrook Family Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Kimmell, 2575 Harvest Ln, Owatonna, MN 55060-4305 Ph: (507) 446-0431 | Ashley Kimmell, 410 Central Ave N, Faribault, MN 55021-5217 Ph: (507) 331-3454 |
Raegan Rose Bissonett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 651-304-0307 | |
Leonel Zuniga, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-646-8970 Fax: 833-974-2090 | |
Andrea Kraus, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-497-3600 | |
Kristine Marie Owen-katona, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0257 | |
Paige Marie Noel, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-334-6451 | |
Mackenzie Esson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 3rd Ave Nw, Faribault, MN 55021 Phone: 763-780-3307 Fax: 763-780-3306 | |
Sophia Louise Ekness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0292 Fax: 612-444-3292 |