| C Brook Chace, MA | |
|
119 Friberg Ave, Fergus Falls, MN 56537-2306 | |
| (218) 332-2018 | |
| Not Available |
| Full Name | C Brook Chace |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 119 Friberg Ave, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295248706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | 3178 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 590 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| C Brook Chace, MA 410 E Oak St, Redwood Falls, MN 56283-1149 Ph: Not Available | C Brook Chace, MA 119 Friberg Ave, Fergus Falls, MN 56537-2306 Ph: (218) 332-2018 |
Barbara K. Young, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 |
Angela Renner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln Ave Ste 3, Fergus Falls, MN 56537 Phone: 218-998-2992 |
Jordan Solheim-johnson, Counselor Medicare: Medicare Enrolled Practice Location: 731 Western Ave, Fergus Falls, MN 56537 Phone: 218-321-5431 Fax: 218-739-4807 |
Ms. Jacinta Rae Putnam, MS, LPCC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 119 Friberg Ave, Fergus Falls, MN 56537 Phone: 218-332-2018 |
Emily Meyer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Friberg Ave, Fergus Falls, MN 56537 Phone: 218-332-2018 |
Julie Ann Gillespie, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 W Alcott Ave, Fergus Falls, MN 56537 Phone: 218-332-5001 |
Mrs. Catherine A Johnson Dutcher, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 980 S Tower Rd, Fergus Falls, MN 56537 Phone: 218-739-1725 Fax: 218-736-6987 |