| Corinne Marie Nechalova, | |
|
790 Cleveland Ave S Ste 223, Saint Paul, MN 55116-3867 | |
| (971) 345-5406 | |
| Not Available |
| Full Name | Corinne Marie Nechalova |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 790 Cleveland Ave S Ste 223, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114492261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC01943 (Minnesota) | Primary |
| Entity Name | Lyn-lake Psychotherapy And Wellness Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Corinne Marie Nechalova, 790 Cleveland Ave S Ste 223, Saint Paul, MN 55116-3867 Ph: () - | Corinne Marie Nechalova, 790 Cleveland Ave S Ste 223, Saint Paul, MN 55116-3867 Ph: (971) 345-5406 |
Amber Langford, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3250 Rice St, Saint Paul, MN 55126 Phone: 651-272-6229 | |
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978 | |
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141 | |
Abigail Brown, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000 | |
Pang Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030 | |
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219 |