| Mandy Jo Hofland, LAC | |
|
725 Center Ave Ste 3, Moorhead, MN 56560-1972 | |
| (218) 366-6162 | |
| Not Available |
| Full Name | Mandy Jo Hofland |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 725 Center Ave Ste 3, Moorhead, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467937573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1832 (North Dakota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1329-10-1-23-566 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Human Service Center | 8527027556 | 29 |
| Entity Name | Southeast Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932146941 PECOS PAC ID: 8527027556 Enrollment ID: O20041006000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Jo Hofland, LAC 725 Center Ave Ste 3, Moorhead, MN 56560-1972 Ph: (218) 366-6162 | Mandy Jo Hofland, LAC 725 Center Ave Ste 3, Moorhead, MN 56560-1972 Ph: (218) 366-6162 |
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 |
Christopher Carl Mickelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 8th St S Ste 3, Moorhead, MN 56560 Phone: 218-284-1800 |
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 |
Kristina Kandel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 819 30th Ave S Ste 208, Moorhead, MN 56560 Phone: 651-313-8080 |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |