| Charles Lochner, MA | |
|
11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | |
| (763) 767-3350 | |
| (763) 767-0912 |
| Full Name | Charles Lochner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073199980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Charles Lochner, MA 9247 124th Cir N, Champlin, MN 55316-1932 Ph: (763) 438-3561 | Charles Lochner, MA 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: (763) 767-3350 |
Uzoma Chinyere Omeoga, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 124th Ln Nw, Coon Rapids, MN 55448 Phone: 651-387-3702 | |
Abigail Fletcher, Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Mrs. Nikisha Lynnette Simmons-maclin, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448 Phone: 612-636-9677 | |
Adam Palowski, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10077 Dogwood St Nw, Coon Rapids, MN 55448 Phone: 612-676-1604 | |
Ms. Kristal Ficzeri, MA Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Calsi Gilbertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 |