| Avalon Counseling Services, Llc | |
|
11 E Veterans Memorial Hwy Ste 106 Kasson MN 55944-1717 | |
| (507) 424-6954 | |
| (507) 634-7120 |
| Full Name | Avalon Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11 E Veterans Memorial Hwy Ste 106, Kasson, Minnesota |
| Authorized Official Name and Position | Rachel Suera (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5074246954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Counseling Services, Llc 11 E Veterans Memorial Hwy Ste 106 Kasson MN 55944-1717 Ph: (507) 424-6954 | Avalon Counseling Services, Llc 11 E Veterans Memorial Hwy Ste 106 Kasson MN 55944-1717 Ph: (507) 424-6954 |
| NPI Number | 1053711663 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Medicare PECOS PAC ID | 5294089546 |
|---|---|
| Medicare Enrollment ID | O20181126003109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053711663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP 5772 (Minnesota) | Primary |
| Provider Name | Rachel Suera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376942474 PECOS PAC ID: 0244584597 Enrollment ID: I20181126003391 |
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