| John White, | |
|
301 E Howard St Ste 1, Hibbing, MN 55746-4716 | |
| (218) 326-1274 | |
| Not Available |
| Full Name | John White |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 301 E Howard St Ste 1, Hibbing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265822324 | NPI | - | NPPES |
| 894755400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Northland Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164610986 PECOS PAC ID: 1153389242 Enrollment ID: O20041221000396 |
| Mailing Address | Practice Location Address |
|---|---|
| John White, 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 Ph: () - | John White, 301 E Howard St Ste 1, Hibbing, MN 55746-4716 Ph: (218) 326-1274 |
Mrs. Genna Lee Gentile, M.A., LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2016 9th Ave E, Hibbing, MN 55746 Phone: 218-262-2114 | |
Jillaine Helen Higgins, LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3709 1st Ave, Hibbing, MN 55746 Phone: 218-263-1347 Fax: 218-263-3241 | |
Jennifer Kendall, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 302 E Howard St Ste 118, Hibbing, MN 55746 Phone: 218-263-1347 Fax: 218-263-3241 | |
Steven Eldor Breitbarth, M. DIV. - LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 |