Mara Jane Fusco, LPCC | |
3450 Oleary Ln, Eagan, MN 55123-2340 | |
(651) 454-0114 | |
(651) 454-3492 |
Full Name | Mara Jane Fusco |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3450 Oleary Ln, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568949774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01867 (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 |
---|---|
Mara Jane Fusco, LPCC 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 454-0114 | Mara Jane Fusco, LPCC 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 454-0114 |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 | |
Scarlett Heather Oconnell, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8228 Fax: 651-454-3492 | |
Mr. Timothy J. Ruden, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Slater Rd Ste 120, Eagan, MN 55122 Phone: 651-882-5161 | |
Haley Keifer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Jacob Thomas Minnig, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Highview Ave, Eagan, MN 55121 Phone: 651-233-8379 |