| Martha Hurtado Mino, LICSW | |
|
712 N Front St, Crookston, MN 56716-1252 | |
| (954) 668-3621 | |
| Not Available |
| Full Name | Martha Hurtado Mino |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 712 N Front St, Crookston, 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 |
|---|---|---|---|
| 1235779315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 16103 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Hurtado Mino, LICSW 712 N Front St, Crookston, MN 56716-1252 Ph: (218) 277-9905 | Martha Hurtado Mino, LICSW 712 N Front St, Crookston, MN 56716-1252 Ph: (954) 668-3621 |
Heather Taylor, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Curtis Lee Hamre, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23616 Us Highway 2 Sw, Crookston, MN 56716 Phone: 218-281-9538 Fax: 218-281-9503 | |
Mr. Thomas Manville Reff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9514 | |
Valerie Wagner, LADC, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Dean Stuart Mortenson, MA,ADCT Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9436 | |
Michael A Graner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9511 |