Leslie Funk, LPCC | |
800 Holiday Dr Ste 170, Moorhead, MN 56560-4400 | |
(218) 293-4221 | |
Not Available |
Full Name | Leslie Funk |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 800 Holiday Dr Ste 170, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194417519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Autonomy Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437781515 PECOS PAC ID: 6305283847 Enrollment ID: O20240320001753 |
Mailing Address | Practice Location Address |
---|---|
Leslie Funk, LPCC 800 Holiday Dr Ste 170, Moorhead, MN 56560-4400 Ph: (218) 293-4221 | Leslie Funk, LPCC 800 Holiday Dr Ste 170, Moorhead, MN 56560-4400 Ph: (218) 293-4221 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Beth Louise Brantner, M.ED./LAC/LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 9th St N, Moorhead, MN 56560 Phone: 701-429-4866 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |