| Violet Marie Wurtzberger, MS, LPCC, LADC | |
|
3937 Brown St, Pequot Lakes, MN 56472-3053 | |
| (651) 336-3026 | |
| Not Available |
| Full Name | Violet Marie Wurtzberger |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3937 Brown St, Pequot Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396319679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Integrative Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396314654 PECOS PAC ID: 5698164895 Enrollment ID: O20211109002570 |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240709003795 |
| Entity Name | Optimal Brain Mn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609614957 PECOS PAC ID: 6709317787 Enrollment ID: O20241001002954 |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Marie Wurtzberger, MS, LPCC, LADC 3937 Brown St, Pequot Lakes, MN 56472-3053 Ph: (218) 270-9406 | Violet Marie Wurtzberger, MS, LPCC, LADC 3937 Brown St, Pequot Lakes, MN 56472-3053 Ph: (651) 336-3026 |
Mrs. Deborah A Rudningen, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10010 Strawberry Lake Rd, Pequot Lakes, MN 56472 Phone: 218-833-7636 Fax: 218-543-4394 |