| Chad Andrew Talbot, LPCC | |
|
9325 Upland Ln N Ste 210, Maple Grove, MN 55369-5777 | |
| (612) 915-0049 | |
| Not Available |
| Full Name | Chad Andrew Talbot |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 9325 Upland Ln N Ste 210, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962011635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4297 (Minnesota) | Primary |
| Entity Name | Family Innovations Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Andrew Talbot, LPCC 19591 Station St Apt 308, Big Lake, MN 55309-9436 Ph: (612) 242-2519 | Chad Andrew Talbot, LPCC 9325 Upland Ln N Ste 210, Maple Grove, MN 55369-5777 Ph: (612) 915-0049 |
Sarah Nicole Olson Venning, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342 | |
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 | |
Blake Malloy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 | |
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966 | |
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250 | |
Julie Bosacker, Counselor Medicare: Medicare Enrolled Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 763-229-7633 | |
Martha Sepulveda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-284-3706 Fax: 763-274-3121 |