Alexander Demetrio Anderegg, LPC-IT, NCC | |
W62n281 Washington Ave, Cedarburg, WI 53012-2737 | |
(414) 350-6455 | |
Not Available |
Full Name | Alexander Demetrio Anderegg |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | W62n281 Washington Ave, Cedarburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396352852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4723226 (Wisconsin) | Primary |
Entity Name | Kettle Moraine Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568790954 PECOS PAC ID: 8527353747 Enrollment ID: O20200416001123 |
Mailing Address | Practice Location Address |
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Alexander Demetrio Anderegg, LPC-IT, NCC W62n281 Washington Ave, Cedarburg, WI 53012-2737 Ph: (414) 350-6455 | Alexander Demetrio Anderegg, LPC-IT, NCC W62n281 Washington Ave, Cedarburg, WI 53012-2737 Ph: (414) 350-6455 |
Ms. Janelle Elizabeth Clark, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7861 State Road 60, Cedarburg, WI 53012 Phone: 262-546-1050 Fax: 262-546-1051 | |
Amy A Miles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62 N248 Washington Avenue, Suite#207, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 | |
David Dich, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave, Suite#207, Cedarburg, WI 53012 Phone: 262-375-0879 | |
Daniella Aranda-pino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave Ste 207, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 | |
Joy A Myers, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave, Suite #207, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 | |
Mr. Ross Robert Beattie, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n281 Washington Ave, Cedarburg, WI 53012 Phone: 414-779-7677 |