| Debbie Davis, LPCC | |
|
1111 Highway 73, Moose Lake, MN 55767-9452 | |
| (218) 565-6281 | |
| Not Available |
| Full Name | Debbie Davis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 1111 Highway 73, Moose Lake, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386186708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1353 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Waters Clinic | 1355816182 | 2 |
| Entity Name | Northern Waters Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316445455 PECOS PAC ID: 1355816182 Enrollment ID: O20260409002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Davis, LPCC 1111 Highway 73, Moose Lake, MN 55767-9452 Ph: (218) 565-6281 | Debbie Davis, LPCC 1111 Highway 73, Moose Lake, MN 55767-9452 Ph: (218) 565-6281 |
Ms. Dana Marie Osborne, M.A., LPCC, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 316 Elm Ave # 243, Moose Lake, MN 55767 Phone: 218-727-5400 Fax: 218-727-0077 |
Ms. Allison Michelle Immel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 Cedar Ave, Moose Lake, MN 55767 Phone: 763-245-9698 |
Scott Nielsen, MA, CPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 Arrowhead Ln, Moose Lake, MN 55767 Phone: 218-485-4445 |