| Kimberly Jean Dejno, LADC, LMFT | |
|
3257 19th St Nw Ste 4, Rochester, MN 55901-6797 | |
| (651) 955-4633 | |
| (651) 440-9827 |
| Full Name | Kimberly Jean Dejno |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3257 19th St Nw Ste 4, 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 |
|---|---|---|---|
| 1265948186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303922 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 3329 (Minnesota) | Primary |
| Entity Name | Omni Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891110177 PECOS PAC ID: 1557804390 Enrollment ID: O20240620003130 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Jean Dejno, LADC, LMFT 3257 19th St Nw Ste 4, Rochester, MN 55901-6797 Ph: (651) 955-4633 | Kimberly Jean Dejno, LADC, LMFT 3257 19th St Nw Ste 4, Rochester, MN 55901-6797 Ph: (651) 955-4633 |
Yvette A Kidman, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 3rd Ave Se Ste 402, Rochester, MN 55904 Phone: 507-218-8973 Fax: 507-206-0450 | |
Dwight D Dobell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 Elton Hills Ln Nw, Rochester, MN 55901 Phone: 507-282-1009 | |
Valerie J Presa, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 3rd Ave Se, Rochester, MN 55904 Phone: 507-322-6755 | |
Ralph Patton, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1700 Broadway Ave N, Suite 101, Rochester, MN 55906 Phone: 507-884-6287 | |
Mary Susan Schuelke, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 Elton Hills Ln Nw, Rochester, MN 55901 Phone: 507-282-1009 Fax: 507-282-0932 | |
Dewina A Kraus, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5255 Members Pkwy Nw, Rochester, MN 55901 Phone: 507-218-3701 | |
Jonathan R Kruse, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 15 15th Ave Ne, Rochester, MN 55906 Phone: 507-993-2893 Fax: 507-282-0932 |