| Robert John Bouley, MA, LPCC | |
|
7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | |
| (952) 997-3020 | |
| (952) 997-3026 |
| Full Name | Robert John Bouley |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 7300 147th St W Ste 204, Apple Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831532159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CC00576 (Minnesota) | Primary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert John Bouley, MA, LPCC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Robert John Bouley, MA, LPCC 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 Ph: (952) 997-3020 |
Richard Dauer, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6470 129th St W, Apple Valley, MN 55124 Phone: 651-402-9564 | |
Lindsey K Reichert, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W, Suite 204, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Noah Stoltzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 600, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Ms. Kristin Marie Baker, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 600, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Heather Hislop-anderson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020 | |
Brittany M Maxson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Alex Stolis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 |