Lawrence Lowell Sedlacek, MA LADC | |
2785 White Bear Ave N Ste 403, Maplewood, MN 55109-1327 | |
(651) 395-5787 | |
(651) 647-9147 |
Full Name | Lawrence Lowell Sedlacek |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2785 White Bear Ave N Ste 403, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093288987 | NPI | - | NPPES |
205557491 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 305266 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | CC03838 (Minnesota) | Primary |
Entity Name | Eagan Counseling Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326 |
Mailing Address | Practice Location Address |
---|---|
Lawrence Lowell Sedlacek, MA LADC 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 Ph: (612) 454-2447 | Lawrence Lowell Sedlacek, MA LADC 2785 White Bear Ave N Ste 403, Maplewood, MN 55109-1327 Ph: (651) 395-5787 |
Mr. Andrew A Johnson, BA BS MSW LICSW LADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 981 Glendon St N, Maplewood, MN 55119 Phone: 612-354-9027 | |
Mark Charles Lightner, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Cynthia Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 | |
Carrie Weller, LPCC/LADC Counselor Medicare: Medicare Enrolled Practice Location: 2103 County Road D E Ste A, Maplewood, MN 55109 Phone: 651-401-8858 | |
Khong Kaleb Mua, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Kiley Christine Krocak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Joel Lambrides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 |