| Marie Gibson Adebisi, MARIE | |
|
927 Trettel Ln, Cloquet, MN 55720-1345 | |
| (218) 879-1227 | |
| Not Available |
| Full Name | Marie Gibson Adebisi |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 927 Trettel Ln, Cloquet, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437636297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4237 (Minnesota) | Primary |
| Entity Name | Fond Du Lac Reservation Business Committee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Gibson Adebisi, MARIE 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: () - | Marie Gibson Adebisi, MARIE 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227 |
Kevin Randa, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 | |
Kristy Johnson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Cloquet Ave Ste 117, Cloquet, MN 55720 Phone: 218-879-5545 | |
Chester Orland Welch, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Trettel Ln, Fond Du Lac Human Services Division, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2188 | |
Ashley Rhoads, LICSW, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1102 Cloquet Ave, Cloquet, MN 55720 Phone: 218-591-1068 Fax: 218-499-7001 | |
Jeffery Agaton Howes, MSW, LICSW, LADC Counselor Medicare: Medicare Enrolled Practice Location: 40 11th St, Cloquet, MN 55720 Phone: 218-879-4559 Fax: 218-879-0282 | |
Lisa Ann Tranah, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 N 8th St, Cloquet, MN 55720 Phone: 218-590-8528 | |
Josephine Aedan Eades, MSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 |