| Mary Lee, LICSW | |
|
329 Faribault Rd, Faribault, MN 55021-5780 | |
| (507) 334-1983 | |
| (507) 333-2307 |
| Full Name | Mary Lee |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 40 Years |
| Location | 329 Faribault Rd, Faribault, 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 |
|---|---|---|---|
| 1659470409 | NPI | - | NPPES |
| 14947 | Other | MN | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 14947 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar House Inc | 8729975479 | 3 |
| Entity Name | Cedar House Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952321424 PECOS PAC ID: 8729975479 Enrollment ID: O20040228000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lee, LICSW 329 Faribault Rd, Faribault, MN 55021-5780 Ph: (507) 334-1983 | Mary Lee, LICSW 329 Faribault Rd, Faribault, MN 55021-5780 Ph: (507) 334-1983 |
Raegan Rose Bissonett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 651-304-0307 | |
Leonel Zuniga, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-646-8970 Fax: 833-974-2090 | |
Andrea Kraus, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-497-3600 | |
Kristine Marie Owen-katona, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0257 | |
Paige Marie Noel, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-334-6451 | |
Mackenzie Esson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 3rd Ave Nw, Faribault, MN 55021 Phone: 763-780-3307 Fax: 763-780-3306 | |
Sophia Louise Ekness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0292 Fax: 612-444-3292 |