| Jade Miles, | |
|
3265 19th St Nw Ste 125, Rochester, MN 55901-6786 | |
| (507) 722-4616 | |
| Not Available |
| Full Name | Jade Miles |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3265 19th St Nw Ste 125, Rochester, 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, 3265 19th St Nw Ste 125, Rochester, MN 55901-6786 Ph: (651) 493-2055 | Jade Miles, 3265 19th St Nw Ste 125, Rochester, MN 55901-6786 Ph: (507) 722-4616 |
Tomas Clarke, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1314 30th St Sw, Rochester, MN 55902 Phone: 719-283-1570 |
Allison M Harbach, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 |
Regina Anne Mustafa, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 5th St Sw, Rochester, MN 55902 Phone: 507-357-1742 |
Maryama Yasin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2720 Superior Dr Nw, Rochester, MN 55901 Phone: 507-208-4007 Fax: 612-326-6160 |
Abdirahman Abdirashid Ibrahim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2720 Superior Dr Nw Ste 101, Rochester, MN 55901 Phone: 507-208-4007 Fax: 612-326-6160 |
Madelynn Jean Husman, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 16th St Se Ste 100, Rochester, MN 55904 Phone: 507-516-0030 Fax: 507-516-0031 |
Kristine M Lynam, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-288-3443 |