| Jennifer Klutch, MA, LPCC | |
|
9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330-6672 | |
| (763) 746-9492 | |
| Not Available |
| Full Name | Jennifer Klutch |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 9075 Quaday Ave Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245520048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC00291 (Minnesota) | Primary |
| Entity Name | Sequel Mental Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780321802 PECOS PAC ID: 7810436334 Enrollment ID: O20240828004170 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Klutch, MA, LPCC 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: () - | Jennifer Klutch, MA, LPCC 9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330-6672 Ph: (763) 746-9492 |
Mikki K Mason, LMFT, LADC Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 | |
Mr. Larone R Greer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7667 Palisades Ave Ne, Otsego, MN 55330 Phone: 612-281-1629 | |
Heather Jo Voss, MHP, ADC-T Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-308-8619 Fax: 763-746-3685 | |
Amber Rose Sellin, MA Counselor Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Kevin Alan Augustin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Dimitri M Tsampis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 | |
Elizabeth Prigge, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |