Mrs Angela Kaiser, MA, LPCC | |
4700 S Washington St Ste G, Grand Forks, ND 58201-8155 | |
(701) 205-3000 | |
Not Available |
Full Name | Mrs Angela Kaiser |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4700 S Washington St Ste G, Grand Forks, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134766561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1431 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 963-15-18-339 (North Dakota) | Primary |
Entity Name | Peterson Medical Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20170828003640 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Kaiser, MA, LPCC 4700 S Washington St Ste G, Grand Forks, ND 58201-8155 Ph: (701) 205-3000 | Mrs Angela Kaiser, MA, LPCC 4700 S Washington St Ste G, Grand Forks, ND 58201-8155 Ph: (701) 205-3000 |
Amanda Weston Caillier, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Division Avenue, Grand Forks, ND 58201 Phone: 218-779-0134 | |
Denae Haagenson, M.ED, LPCC, NCC, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Demers Ave, Grand Forks, ND 58201 Phone: 701-271-1632 Fax: 701-235-7359 | |
Ms. Carlyss Ann Kurtti, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Grand Forks, ND 58201 Phone: 701-235-4457 | |
Shelby Hildenbrand, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1726 S Washington St Ste 33a, Grand Forks, ND 58201 Phone: 701-746-4584 Fax: 651-925-0057 | |
Cheryl Repp-tredway, LPCC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 | |
Deborah Lynn Davis, LPCC, LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2424 32nd Ave S, Suite 202, Grand Forks, ND 58201 Phone: 701-746-6336 Fax: 701-772-1030 | |
Joan Shulind, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 |