| Two Rivers Counseling Llc | |
|
404 W Superior St Ste 210 Duluth MN 55802-1569 | |
| (218) 606-1100 | |
| (218) 520-1799 |
| Full Name | Two Rivers Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 W Superior St Ste 210, Duluth, Minnesota |
| Authorized Official Name and Position | Eve-lynn R Fellersen (OWNER) |
| Authorized Official Contact | 2186061100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Counseling Llc 404 W Superior St Ste 210 Duluth MN 55802-1569 Ph: (218) 606-1100 | Two Rivers Counseling Llc 404 W Superior St Ste 210 Duluth MN 55802-1569 Ph: (218) 606-1100 |
| NPI Number | 1093486722 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 02/04/2023 |
| Certification Date | 02/04/2023 |
| Medicare PECOS PAC ID | 7416322268 |
|---|---|
| Medicare Enrollment ID | O20230407001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093486722 | NPI | - | NPPES |
| Provider Name | Richard E Mosher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366860041 PECOS PAC ID: 3779801287 Enrollment ID: I20150414000337 |
| Provider Name | Natalie Jo Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023680550 PECOS PAC ID: 6204239312 Enrollment ID: I20210727003862 |
| Provider Name | Kelly Ann Evertz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033827233 PECOS PAC ID: 1456701481 Enrollment ID: I20240103000706 |
| Provider Name | Krissa Ann Roberson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639703242 PECOS PAC ID: 9335590157 Enrollment ID: I20240105002504 |
| Provider Name | Richard Fredolph Tunell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265174387 PECOS PAC ID: 4880045541 Enrollment ID: I20240105004051 |
| Provider Name | Eve-lynn R Fellersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740744853 PECOS PAC ID: 0143695999 Enrollment ID: I20240108004705 |
| Provider Name | Ashley Lynn Demars |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790339794 PECOS PAC ID: 2264884121 Enrollment ID: I20240117001248 |
| Provider Name | Madison Rose Witschen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083399406 PECOS PAC ID: 2466897772 Enrollment ID: I20240227000568 |
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