| Compass Counseling Center Pllc | |
|
808 Washington Ave Ste 34 Detroit Lakes MN 56501-3039 | |
| (218) 234-0188 | |
| Not Available |
| Full Name | Compass Counseling Center Pllc |
|---|---|
| Speciality | Counselor |
| Location | 808 Washington Ave Ste 34, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Colton Friesen (OWNER/COUNSELOR) |
| Authorized Official Contact | 2182340188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling Center Pllc 420 Lake St Lake Park MN 56554-4205 Ph: (218) 234-0188 | Compass Counseling Center Pllc 808 Washington Ave Ste 34 Detroit Lakes MN 56501-3039 Ph: (218) 234-0188 |
| NPI Number | 1104695527 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 8729428719 |
|---|---|
| Medicare Enrollment ID | O20240424001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104695527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Colton John Friesen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093498818 PECOS PAC ID: 7416305339 Enrollment ID: I20240424001462 |
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