| Max Richard Stoltenberg, MC, LPCC | |
|
5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 | |
| (763) 330-2774 | |
| (763) 330-2775 |
| Full Name | Max Richard Stoltenberg |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5700 Bottineau Blvd Ste 210, Crystal, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184870610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3699 (Minnesota) | Primary |
| Entity Name | Care Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342 |
| Mailing Address | Practice Location Address |
|---|---|
| Max Richard Stoltenberg, MC, LPCC 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Max Richard Stoltenberg, MC, LPCC 5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 Ph: (763) 330-2774 |
Ms. Melodee Jean Benson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 633-302-7747 Fax: 763-330-2775 | |
Laura Lee Haeg, MA, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Winnetka Ave N, Crystal, MN 55427 Phone: 126-313-8872 | |
Ms. Marian Eckhardt, PSYD, LP Counselor Medicare: Accepting Medicare Assignments Practice Location: 8025 34th Pl N, Crystal, MN 55427 Phone: 612-393-7885 Fax: 763-546-8577 | |
Kirsten Adank, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 | |
Allyson Bauer, MPS, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Winnetka Ave N Ste 101, Crystal, MN 55427 Phone: 612-313-8831 | |
Colleen Noel Bayer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 |