Lauren Fullerton, MA, LADC | |
1821 University Ave W., Suite N385, St. Paul, MN 55104 | |
(612) 454-2478 | |
Not Available |
Full Name | Lauren Fullerton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1821 University Ave W., Suite N385, St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134621600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304871 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 3696 (Minnesota) | Primary |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
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Lauren Fullerton, MA, LADC 1821 University Ave W., Suite N385, St. Paul, MN 55104 Ph: (612) 454-2478 | Lauren Fullerton, MA, LADC 1821 University Ave W., Suite N385, St. Paul, MN 55104 Ph: (612) 454-2478 |
Suzanne Theresa Brannan, B.S., L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 East 7th St., Clues Chemical Health, St. Paul, MN 55106 Phone: 651-379-4287 Fax: 651-379-4297 | |
Glen Oglesby, M.A. LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Prior Ave N, Suite 204, St. Paul, MN 55104 Phone: 651-644-4944 Fax: 651-646-0196 | |
Mrs. Taiwo Akinola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Suite 200, St. Paul, MN 55104 Phone: 651-266-7999 Fax: 651-266-7850 | |
Mrs. Jennifer Ann Bertolatus, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1585 Rice Street, St. Paul, MN 55117 Phone: 651-487-8088 Fax: 651-487-8105 | |
Ms. Amy Elizabeth Mellum, LICSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 311 Ramsey St., Suite 205, St. Paul, MN 55102 Phone: 651-262-9726 Fax: 651-294-2347 | |
Mrs. Janessa Angelica Beebe, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Cornerstone Therapy And Recovery Center, 1600 University Avenue West Suite #203, St. Paul, MN 55401 Phone: 651-645-0980 Fax: 651-645-3534 |