Deborah Ellen Neitzke, MS, LPCC | |
1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | |
(320) 251-2700 | |
(320) 229-5109 |
Full Name | Deborah Ellen Neitzke |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1406 6th Avenue North, St. Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194049023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 00164 (Minnesota) | Primary |
Entity Name | St Cloud Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Deborah Ellen Neitzke, MS, LPCC 1900 Centracare Cir # 2475, Centra Care Health Plaza, Saint Cloud, MN 56303-5000 Ph: (320) 229-5199 | Deborah Ellen Neitzke, MS, LPCC 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 Ph: (320) 251-2700 |
Terry Thomas Farber, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital- Recovery Plus, St. Cloud, MN 56303 Phone: 320-251-2700 | |
Miss Diane Patricia Hiles, MA, PSYD. Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 18th St. N., St. Cloud, MN 56302 Phone: 320-650-1660 Fax: 320-650-1672 | |
Ms. Janice Mary Wilde, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 16th Ave N, St. Cloud, MN 56303 Phone: 320-656-1550 | |
Sandra Lee Andreasen, MS, LMFT, LPC, LSW Counselor Medicare: Medicare Enrolled Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Rachel Flygare, BS LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7009 | |
Angela Marie Williams Schroden, MS, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109 |