Alisa L Thompson, LPC | |
17 S River St, Suite 254, Janesville, WI 53548-3860 | |
(608) 755-5260 | |
(608) 755-5267 |
Full Name | Alisa L Thompson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 17 S River St, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740574037 | NPI | - | NPPES |
1740574037 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4597 (Wisconsin) | Primary |
Entity Name | Trivium Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265450753 PECOS PAC ID: 6800115676 Enrollment ID: O20150428001780 |
Mailing Address | Practice Location Address |
---|---|
Alisa L Thompson, LPC 17 S River St, Suite 254, Janesville, WI 53548-3860 Ph: (608) 755-5260 | Alisa L Thompson, LPC 17 S River St, Suite 254, Janesville, WI 53548-3860 Ph: (608) 755-5260 |
Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502 | |
Kamela D. Cisneros, Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174 | |
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942 | |
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575 | |
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516 | |
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625 | |
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564 |