| Mrs Carissa Cullum Ferdinand, MA, LAPC, NCC | |
|
2201 36th Ave Sw Ste B, Minot, ND 58701-7593 | |
| (701) 837-9801 | |
| (701) 425-0606 |
| Full Name | Mrs Carissa Cullum Ferdinand |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2201 36th Ave Sw Ste B, Minot, 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 |
|---|---|---|---|
| 1255082848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Psychiatric Specialties, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841321072 PECOS PAC ID: 5799729265 Enrollment ID: O20050615000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carissa Cullum Ferdinand, MA, LAPC, NCC 2201 36th Ave Sw Ste B, Minot, ND 58701-7593 Ph: (701) 837-9801 | Mrs Carissa Cullum Ferdinand, MA, LAPC, NCC 2201 36th Ave Sw Ste B, Minot, ND 58701-7593 Ph: (701) 837-9801 |
Jennifer L Lusinger, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kenneth Backen, LICENSED ADDICTION C Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 N Broadway Ste 300, Minot, ND 58703 Phone: 701-537-4191 Fax: 701-786-7174 | |
Shannon Krueger, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Main St S, Minot, ND 58701 Phone: 701-389-9363 | |
Madison Schill, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 19th Ave Nw, Minot, ND 58703 Phone: 701-857-4207 Fax: 701-852-1190 | |
Mr. Luis Valencia Coca Iii, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 3rd St Se, Minot, ND 58701 Phone: 701-857-2480 | |
Robert Ramsay, LAC LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway, Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kate Turnbow, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 20 1st St Sw Ste 250, Minot, ND 58701 Phone: 701-852-3328 Fax: 651-925-0057 |