| Ms Lori Joanne Engblom, MA, LPCC | |
|
1506 1st St, Princeton, MN 55371-1462 | |
| (763) 389-5080 | |
| (763) 389-5453 |
| Full Name | Ms Lori Joanne Engblom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1506 1st St, Princeton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396022851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC00299 (Minnesota) | Primary |
| Entity Name | Dr Beth A Good Dnp Aprn Pmhcns-bc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205319464 PECOS PAC ID: 8527311216 Enrollment ID: O20181026000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lori Joanne Engblom, MA, LPCC 627 Fish Lake Dr, Mora, MN 55051-7312 Ph: (320) 980-4489 | Ms Lori Joanne Engblom, MA, LPCC 1506 1st St, Princeton, MN 55371-1462 Ph: (763) 389-5080 |
Ashley Carlson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 6th Ave S, Princeton, MN 55371 Phone: 763-308-0006 Fax: 763-631-0339 | |
Mrs. Teri Struthers, M.A.,NCC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2061 100th Ave, Princeton, MN 55371 Phone: 763-360-2585 | |
Ms. Alexandra Blonigen, BA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 6th Ave S, Princeton, MN 55371 Phone: 763-308-0006 Fax: 763-631-0339 | |
Donna Wahlstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 6th Ave S, Princeton, MN 55371 Phone: 763-308-0006 | |
Mr. Andrew Sudbeck, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 18th Avenue North, Princeton, MN 55371 Phone: 763-389-5080 Fax: 763-631-9117 | |
Chelsea Jean Petras, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1506 1st St, Princeton, MN 55371 Phone: 763-389-5080 Fax: 763-389-5453 | |
Karla Carey, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 400 S 2nd St Ste 125, Princeton, MN 55371 Phone: 612-787-2212 Fax: 763-856-3329 |