| Dr Gretchen Phung, DMFT, LMFT | |
| 
					9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845  | |
| (763) 233-7288 | |
| (612) 728-5301 | 
| Full Name | Dr Gretchen Phung | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 9120 Springbrook Dr Nw, Coon Rapids, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992248231 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3142 (Minnesota) | Primary | 
| Entity Name | Canvas Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178  | 
| Entity Name | Conscious Healing Counseling Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366944597 PECOS PAC ID: 4688095268 Enrollment ID: O20200608000853  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gretchen Phung, DMFT, LMFT 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 Ph: (763) 233-7288  | Dr Gretchen Phung, DMFT, LMFT 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 Ph: (763) 233-7288  | 
Douglas P. Robinson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 306, Coon Rapids, MN 55433 Phone: 763-780-1520  | |
Melanie Carlson-kappes, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350  | |
Paul Reps,  Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 612-440-1899  | |
Laura Michelle Derosier-moran, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-363-6219  | |
Ms. Julianne E. Love, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433 Phone: 612-968-0574  | |
James B Benda, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-746-5068  | |
Valissa Milanovich, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912  |