| Julie Blaske, MA LADC LMFT | |
|
1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | |
| (612) 241-6004 | |
| Not Available |
| Full Name | Julie Blaske |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1310 Hwy 96 E, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124486246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303395 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 3106 (Minnesota) | Primary |
| Entity Name | Synergen Behavioral Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740829837 PECOS PAC ID: 3678998796 Enrollment ID: O20200806002886 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Blaske, MA LADC LMFT 3515 Tiffany Lane, Shoreview, MN 55126 Ph: (651) 238-2840 | Julie Blaske, MA LADC LMFT 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 Ph: (612) 241-6004 |
Brienna Lee Schwartz, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-756-7590 | |
Amanda Jean Vaske, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 211, White Bear Lake, MN 55110 Phone: 651-329-1266 Fax: 651-846-5312 | |
David Phillip Halper, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-756-7590 | |
Julie Kraai, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1895 County Road E E Ste 214, White Bear Lake, MN 55110 Phone: 651-226-8950 | |
Samuel David Tosteson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4711 Bald Eagle Ave, White Bear Lake, MN 55110 Phone: 651-587-7145 | |
Diane Lynn Hovey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335 | |
Emily Jordan Jensen, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-243-2747 |