Violet Marie Wurtzberger, MS, LPCC, LADC | |
3937 Brown St, Pequot Lakes, MN 56472-3053 | |
(651) 336-3026 | |
Not Available |
Full Name | Violet Marie Wurtzberger |
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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 |
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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 |
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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 |
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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 |