| Michael Friesen, | |
|
113 W Main St, Waconia, MN 55387-1023 | |
| (855) 454-2463 | |
| Not Available |
| Full Name | Michael Friesen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 113 W Main St, Waconia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689223760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
| Entity Name | Solace Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144563883 PECOS PAC ID: 8921413675 Enrollment ID: O20210210003384 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Friesen, 759 Kirche Hill Dr, Carver, MN 55315-9302 Ph: (952) 356-7177 | Michael Friesen, 113 W Main St, Waconia, MN 55387-1023 Ph: (855) 454-2463 |
Sheri-lynn Weiland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9382 Oak Ave, Waconia, MN 55387 Phone: 855-454-2463 | |
Ms. Amber E Michels, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Abbegail Nichole Dufault, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9382 Oak Ave, Waconia, MN 55387 Phone: 855-454-2463 Fax: 320-295-7898 | |
Selena Morefield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Main St, Waconia, MN 55387 Phone: 855-454-2463 | |
Mrs. Kay Nordgren, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9352 Oak Ave, Waconia, MN 55387 Phone: 952-955-4714 Fax: 952-955-6213 | |
Mrs. Emily Bennett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Jonathan Cory Braverman, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 |