| Lacey Corneliusen, Licsw, Llc | |
|
315 Main St S Ste 301 Minot ND 58701-3956 | |
| (406) 939-1976 | |
| Not Available |
| Full Name | Lacey Corneliusen, Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 315 Main St S, Minot, North Dakota |
| Authorized Official Name and Position | Lacey Dawn Cornelisen (THERAPIST) |
| Authorized Official Contact | 4069391976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Corneliusen, Licsw, Llc 1310 2nd St Se Minot ND 58701-5912 Ph: (406) 939-1976 | Lacey Corneliusen, Licsw, Llc 315 Main St S Ste 301 Minot ND 58701-3956 Ph: (406) 939-1976 |
| NPI Number | 1285064246 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285064246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4558 (North Dakota) | Primary |
Alex Eaton Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 | |
Rem North Dakota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 2nd St Se Ste 1a, Minot, ND 58701 Phone: 701-418-2010 | |
Nicodemus Therapeutic Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 31st Ave Sw, Minot, ND 58701 Phone: 701-355-6800 | |
Seeds Of Eden Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Main St S, Minot, ND 58701 Phone: 701-415-6233 Fax: 833-525-1920 | |
Goodman Addiction Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 South Broadway Suite S., Minot, ND 58701 Phone: 701-852-3869 Fax: 701-852-9024 | |
Jennifer Grossman-chinburg, Licsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 S Broadway Ste A, Minot, ND 58701 Phone: 701-833-2085 Fax: 701-837-1360 | |
Stein Specialized Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 S Broadway, Suite A, Minot, ND 58701 Phone: 701-833-2085 Fax: 701-837-1360 |