| Holly Heaser, LADC | |
|
375 Orleans St E, Stillwater, MN 55082-5830 | |
| (651) 777-5222 | |
| Not Available |
| Full Name | Holly Heaser |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 375 Orleans St E, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710523972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304835 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Heaser, LADC 2089 Nebraska Ave E, Saint Paul, MN 55119-3051 Ph: () - | Holly Heaser, LADC 375 Orleans St E, Stillwater, MN 55082-5830 Ph: (651) 777-5222 |
Lindsey Rae Sommer, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-351-3102 Fax: 651-351-3155 | |
Steven Daniel Young, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1715 Tower Dr W Ste 100, Stillwater, MN 55082 Phone: 651-390-5001 | |
Carolyn R Wiger, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14949 62nd St N, Stillwater, MN 55082 Phone: 651-430-6460 | |
Jordan Lee Johnson, MA, LPC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6303 Osgood Ave N, Stillwater, MN 55082 Phone: 651-383-4800 Fax: 651-383-4801 | |
Ms. Lori Marie Cargen Beckwith, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11400 Julianne Ave N, Stillwater, MN 55082 Phone: 612-454-2406 Fax: 651-426-0419 | |
Kelle Ann Arend, MA, LMFT, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 2nd St N Ste 105, Stillwater, MN 55082 Phone: 651-705-6525 | |
Michael Robert Peterson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 4th St S, Stillwater, MN 55082 Phone: 612-220-6038 |