| Michael Bousu, MA, LMFT | |
|
220 Railroad St Se, Pine City, MN 55063-1540 | |
| (320) 629-7600 | |
| Not Available |
| Full Name | Michael Bousu |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 220 Railroad St Se, Pine City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437870763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4035 (Minnesota) | Primary |
| Entity Name | Collaborative Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160909002528 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bousu, MA, LMFT 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Michael Bousu, MA, LMFT 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 |
Nathan D Vojtech, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Janice Reich, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Mrs. Linda M Richnofsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Therapeutic Services Agency Inc, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Mr. Bruce A Oleary, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Therapeutic Services Agency Inc, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Thomas M Staloch, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 | |
Christine Jayne Harnack, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-250-0071 |