| Coreen Tracee Jander, MA (LPCC-TX) | |
|
1107 Hazeltine Blvd Ste 370, Chaska, MN 55318-1009 | |
| (952) 395-1441 | |
| (952) 395-1442 |
| Full Name | Coreen Tracee Jander |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1107 Hazeltine Blvd Ste 370, Chaska, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184364234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63182 (Texas) | 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 |
|---|---|
| Coreen Tracee Jander, MA (LPCC-TX) 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318-1009 Ph: (952) 395-1441 | Coreen Tracee Jander, MA (LPCC-TX) 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318-1009 Ph: (952) 395-1441 |
Angela Suszanne Elmendorf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd., Suite 370, Chaska, MN 55318 Phone: 952-395-1441 Fax: 952-395-1442 | |
Mrs. Dawn M Bunke, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Stoughton Ave, Chaska, MN 55318 Phone: 952-297-8656 | |
Catherine F. Fitterer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 4th St, Chaska, MN 55318 Phone: 952-361-1600 Fax: 952-361-1660 | |
Kimberly Kathleen Sandiford, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318 Phone: 952-395-1441 | |
Armani S Cartlidge, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1107 Hazeltine Blvd Ste 121, Chaska, MN 55318 Phone: 952-361-3360 Fax: 763-544-1008 | |
Michael Winter, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 586 Westwood Ln, Chaska, MN 55318 Phone: 952-200-7093 | |
Melissa Goroni Larson, LICSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 111 Hundertmark Rd Ste 205n, Chaska, MN 55318 Phone: 952-903-1350 Fax: 952-426-3856 |