| Kristi Ventzke, LMFT | |
|
1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | |
| (701) 746-4584 | |
| (701) 746-1239 |
| Full Name | Kristi Ventzke |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1726 S Washington St Ste 33a, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760710016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1854 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 2010-036 (North Dakota) | Primary |
| Entity Name | Village Family Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Ventzke, LMFT 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 Ph: (701) 746-4584 | Kristi Ventzke, LMFT 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 Ph: (701) 746-4584 |
Susan Ann Moe Paulson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 340 Division Ave, Grand Forks, ND 58201 Phone: 218-791-4336 | |
Ann Russell, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1726 S Washington St Ste 33a, Grand Forks, ND 58201 Phone: 701-746-4584 Fax: 651-925-0057 | |
Meagan Pettus, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 340 Division Ave, Grand Forks, ND 58201 Phone: 866-427-8370 |