| Cassidy Famularo, MS, LPCC, LADC | |
|
900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 | |
| (612) 706-9630 | |
| Not Available |
| Full Name | Cassidy Famularo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 900 Long Lake Rd Ste 160, New Brighton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023615242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304573 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 2527 (Minnesota) | Primary |
| Entity Name | Medical Care Services, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083778708 PECOS PAC ID: 5890865463 Enrollment ID: O20091216000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassidy Famularo, MS, LPCC, LADC 7627 10th Ave S, Minneapolis, MN 55423-4572 Ph: (952) 217-3291 | Cassidy Famularo, MS, LPCC, LADC 900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 Ph: (612) 706-9630 |
David Hawkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 |
Heidi Christenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2475 15th St Nw Ste D, New Brighton, MN 55112 Phone: 612-260-7181 |
Mr. Craig Schleisman, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 |
Ms. Allyson May Rose, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 215, New Brighton, MN 55112 Phone: 651-900-0233 |
Judy Ann Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Road, New Brighton, MN 55112 Phone: 651-628-9566 |
Emma Fuhrman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 |
Michael J Tschida, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311 |