| Marisa Erickson, | |
|
11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 | |
| (763) 633-5111 | |
| Not Available |
| Full Name | Marisa Erickson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11070 183rd Cir Nw Ste C, Elk River, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730940370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC04197 (Minnesota) | Primary |
| Entity Name | Hardy & Stephens Counseling Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871659623 PECOS PAC ID: 6305201278 Enrollment ID: O20230518000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Erickson, 11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 Ph: (763) 633-5111 | Marisa Erickson, 11070 183rd Cir Nw Ste C, Elk River, MN 55330-3701 Ph: (763) 633-5111 |
Alyssa Catherine Wentworth, M.S., LPC Counselor Medicare: Medicare Enrolled Practice Location: 18336 Joplin St Nw, Elk River, MN 55330 Phone: 763-350-9687 | |
Sheila Ann Selinsky, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 5, Elk River, MN 55330 Phone: 763-237-3505 Fax: 763-237-3505 | |
Heather Jean Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-333-8001 | |
Tyler Antony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381 | |
Kelly Lynn Herman, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Freeport Ave Nw Ste D, Elk River, MN 55330 Phone: 763-441-1578 | |
Mrs. Katherine Lynn Hardy-roth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-633-5111 | |
Mrs. Jade Matraca Blaser, MSW, LADC, LGSW Counselor Medicare: Medicare Enrolled Practice Location: 1230 School St Nw, Elk River, MN 55330 Phone: 763-241-3558 |