| Ms Jokotade Monsurat Shonibare, MA, LAMFT | |
|
4655 Nicols Rd, Suite 206, Eagan, MN 55122-3425 | |
| (952) 936-2800 | |
| Not Available |
| Full Name | Ms Jokotade Monsurat Shonibare |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4655 Nicols Rd, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902089956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1501 (Minnesota) | Primary |
| Entity Name | Ellie Family Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jokotade Monsurat Shonibare, MA, LAMFT 6274 5th St Ne, Fridley, MN 55432-5035 Ph: (763) 572-8761 | Ms Jokotade Monsurat Shonibare, MA, LAMFT 4655 Nicols Rd, Suite 206, Eagan, MN 55122-3425 Ph: (952) 936-2800 |
Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897 | |
Matthew Steven Carlson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Katherine Ann Mcguire, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Medicare Enrolled Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 |