| Jacqui Ruzicka Counseling Services, Llc | |
|
255 Highway 7 E Hutchinson MN 55350-1749 | |
| (320) 282-2591 | |
| Not Available |
| Full Name | Jacqui Ruzicka Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 255 Highway 7 E, Hutchinson, Minnesota |
| Authorized Official Name and Position | Jacqueline Marie Theisen (THERAPIST, OWNER) |
| Authorized Official Contact | 3202822591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqui Ruzicka Counseling Services, Llc 225 3rd Ave Nw Hutchinson MN 55350-1623 Ph: (320) 455-9888 | Jacqui Ruzicka Counseling Services, Llc 255 Highway 7 E Hutchinson MN 55350-1749 Ph: (320) 282-2591 |
| NPI Number | 1669849808 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Medicare PECOS PAC ID | 9133462161 |
|---|---|
| Medicare Enrollment ID | O20241230001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669849808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
| Provider Name | Kelly Hildre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871292284 PECOS PAC ID: 3678927894 Enrollment ID: I20230921003059 |
| Provider Name | Jacqueline Theisen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962835777 PECOS PAC ID: 2668715699 Enrollment ID: I20241230001692 |
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