| Mara Jane Fusco, LPCC | |
|
12400 Portland Ave Ste 180, Burnsville, MN 55337-6875 | |
| (651) 689-3012 | |
| (651) 352-6070 |
| Full Name | Mara Jane Fusco |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 12400 Portland Ave Ste 180, Burnsville, 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 |
|---|---|---|---|
| 1568949774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC01867 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagan Counseling Clinic | 2860304045 | 49 |
| Entity Name | Eagan Counseling Clinic |
|---|---|
| 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 |
|---|---|
| Mara Jane Fusco, LPCC 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 454-0114 | Mara Jane Fusco, LPCC 12400 Portland Ave Ste 180, Burnsville, MN 55337-6875 Ph: (651) 689-3012 |
Abdirahim Shurie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Mcandrews Rd W, Burnsville, MN 55337 Phone: 612-427-5204 | |
Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562 | |
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954 | |
Bridgett Littel, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14551 Judicial Rd, Burnsville, MN 55306 Phone: 952-898-5020 | |
John Gawboy, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690 | |
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517 | |
Karen Elaine Killoran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11939 River Hills Dr, Burnsville, MN 55337 Phone: 952-890-4480 |