| Alexandria Madison Montgomery Blackstone, LPC-IT | |
|
400 N Richmond St Ste F1, Appleton, WI 54911-4654 | |
| (920) 722-8150 | |
| Not Available |
| Full Name | Alexandria Madison Montgomery Blackstone |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 400 N Richmond St Ste F1, Appleton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922791474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7397-226 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Madison Montgomery Blackstone, LPC-IT 1509 S Commercial St, Neenah, WI 54956-6152 Ph: (920) 722-8150 | Alexandria Madison Montgomery Blackstone, LPC-IT 400 N Richmond St Ste F1, Appleton, WI 54911-4654 Ph: (920) 722-8150 |
Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451 | |
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185 | |
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824 | |
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635 | |
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164 | |
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981 | |
Mrs. Danielle Faye Falesnik, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 1/2 W College Ave Ste 3, Appleton, WI 54911 Phone: 920-795-7188 Fax: 920-570-6994 |