| Mr Richard Carroll Burleson, LPCC | |
|
8010 Highway 55, Rockford, MN 55373-9407 | |
| (612) 618-0808 | |
| (763) 477-0064 |
| Full Name | Mr Richard Carroll Burleson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 8010 Highway 55, Rockford, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215504535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4845 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lorenz Clinic Llc | 7810282845 | 25 |
| Entity Name | Lorenz Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Carroll Burleson, LPCC 6555 71st Ln, Loretto, MN 55357-9711 Ph: (612) 618-0808 | Mr Richard Carroll Burleson, LPCC 8010 Highway 55, Rockford, MN 55373-9407 Ph: (612) 618-0808 |
Cheyne Summer Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8060 Hwy 55 # 100, Rockford, MN 55373 Phone: 612-477-6857 | |
Darcie Hanna, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 4984 Riveroaks Road, Rockford, MN 55373 Phone: 612-402-4011 | |
Layla Marie Berenjian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8060 State Highway 55 Ste 100, Rockford, MN 55373 Phone: 612-234-2246 | |
Vi Doan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8060 State Highway 55 Ste 100, Rockford, MN 55373 Phone: 612-930-3008 | |
Emily J Kounkel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8340 Bridge St, Rockford, MN 55373 Phone: 763-233-6800 Fax: 763-972-8808 | |
Joy Kwai-lyn Langenburg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8060 Hwy 55 Ste 100, Rockford, MN 55373 Phone: 612-465-9910 |