Jade Miles, | |
2864 Middle St Ste 100, Little Canada, MN 55117-1411 | |
(651) 493-2055 | |
Not Available |
Full Name | Jade Miles |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2864 Middle St Ste 100, Little Canada, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467052555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Fernbrook Family Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
Mailing Address | Practice Location Address |
---|---|
Jade Miles, 2407 29th Ave Nw Apt 1, Rochester, MN 55901-2996 Ph: (507) 884-4631 | Jade Miles, 2864 Middle St Ste 100, Little Canada, MN 55117-1411 Ph: (651) 493-2055 |
Tasha Lehner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 County Road C E Ste 6, Little Canada, MN 55117 Phone: 763-244-4900 | |
Rebecca Avital Silberfarb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Middle St Ste 100, Little Canada, MN 55117 Phone: 651-493-2055 Fax: 651-340-8632 | |
Saream Chhith, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Middle St # 100, Little Canada, MN 55117 Phone: 651-493-2055 | |
Mrs. Jin Park, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2984 Rice St, Little Canada, MN 55113 Phone: 651-968-4974 | |
Melanie Koenen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Middle St Ste 100, Little Canada, MN 55117 Phone: 651-493-2055 | |
Kathleen Marie Frischmann Peterson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2984 Rice St, Little Canada, MN 55113 Phone: 651-968-4974 |