| Dina Rae Kowalski, LMFT | |
|
1920 College Way, Fergus Falls, MN 56537-1060 | |
| (701) 232-6224 | |
| (701) 232-4687 |
| Full Name | Dina Rae Kowalski |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1920 College Way, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679682488 | NPI | - | NPPES |
| 436T2PE | Other | MN | BLUE CROSS |
| 337149200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Valley Christian Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467559427 PECOS PAC ID: 6709845654 Enrollment ID: O20240124000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Dina Rae Kowalski, LMFT 1112 Nodak Dr S, Fargo, ND 58103-2333 Ph: (701) 232-6224 | Dina Rae Kowalski, LMFT 1920 College Way, Fergus Falls, MN 56537-1060 Ph: (701) 232-6224 |
Jeanne Grenvik, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 225 W Lincoln Ave Ste 104, Fergus Falls, MN 56537 Phone: 218-531-1424 Fax: 218-531-1420 | |
Tamera Schwantes Churchill, MAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln Ave Ste 10, Fergus Falls, MN 56537 Phone: 218-205-1079 | |
Mr. David Diederich Churchill, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 980 S Tower Rd, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 | |
Carmen Sue Graumann, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1231 N Concord St, Fergus Falls, MN 56537 Phone: 218-739-2391 |