| Megan Fredrickson, MA | |
| 
					1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915  | |
| (952) 443-4600 | |
| Not Available | 
| Full Name | Megan Fredrickson | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 1120 Wayzata Blvd E Ste 210, Wayzata, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184257081 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC03702 (Minnesota) | Primary | 
| Entity Name | Lorenz Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Megan Fredrickson, MA 1435 White Oak Dr, Chaska, MN 55318-2667 Ph: () -  | Megan Fredrickson, MA 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915 Ph: (952) 443-4600  | 
Devan Kristine Rubio, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391 Phone: 952-443-4600 Fax: 952-443-4604  | |
Melissa Fjelstad, LADC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3701 Shoreline Dr Ste 102, Wayzata, MN 55391 Phone: 952-314-7533  | |
Barbara Joanne Hilleren, MA, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Twelve Oaks Center Dr, Suite 220, Wayzata, MN 55391 Phone: 952-212-6570 Fax: 952-657-7818  | |
Robert Frost, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Gleason Lake Rd Apt 102, Wayzata, MN 55391 Phone: 952-288-8192  | |
Patricia Fitzgibbons Anderson, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Twelve Oaks Center Dr Ste 224, Wayzata, MN 55391 Phone: 952-933-4979  | |
Annika Knutson,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 15600 Wayzata Blvd Ste 209, Wayzata, MN 55391 Phone: 612-351-7576  |