Anita J Vlcek, MS LPC | |
2321 Stout Rd, Menomonie, WI 54751-7003 | |
(715) 235-5531 | |
Not Available |
Full Name | Anita J Vlcek |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2321 Stout Rd, Menomonie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740418102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4228-125 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4228 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Mailing Address | Practice Location Address |
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Anita J Vlcek, MS LPC Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-5222 | Anita J Vlcek, MS LPC 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 235-5531 |
Kiersten Lynette Buck, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Rachel Moe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelley Rae Mendalski, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelsey Eileen Trinkner, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Us Highway 12 E Ste 160, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987 | |
Alethea Ann Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: N4762 State Road 25, Menomonie, WI 54751 Phone: 715-231-2010 | |
Victoria Rose Perron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7116 | |
Diane K. Delegard, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |