| Eran Severson, | |
|
7101 York Ave S Ste 317, Edina, MN 55435-4469 | |
| (952) 921-3266 | |
| Not Available |
| Full Name | Eran Severson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 7101 York Ave S Ste 317, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841726452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2350 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Stacia Hanson Ma Lp Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871867549 PECOS PAC ID: 2769828706 Enrollment ID: O20240312003412 |
| Mailing Address | Practice Location Address |
|---|---|
| Eran Severson, 3572 Blue Jay Way Apt 203, Eagan, MN 55123-2218 Ph: (952) 994-2239 | Eran Severson, 7101 York Ave S Ste 317, Edina, MN 55435-4469 Ph: (952) 921-3266 |
Stephen Wayne Peterson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7400 Metro Blvd Ste 220, Edina, MN 55439 Phone: 952-220-7164 | |
Melissa Derby-sessions, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd, Edina, MN 55439 Phone: 612-564-2271 | |
Elizabeth Kaye Dumke, MS, LPCC, ATR Counselor Medicare: Medicare Enrolled Practice Location: 4820 W 77th St Ste 130, Edina, MN 55435 Phone: 651-313-8080 Fax: 651-925-0610 | |
John Rundquist, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7250 Metro Blvd Ste 100, Edina, MN 55439 Phone: 612-374-0506 Fax: 651-323-2051 | |
Jille Neiman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7602 York Ave S Apt 7115, Edina, MN 55435 Phone: 612-251-8320 | |
Mr. Kyle J Slawson, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 952-831-2000 | |
Tember Graves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 W 66th St Ste 400, Edina, MN 55435 Phone: 952-924-5901 |