Ashley Vandyck, LPC-IT | |
424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 | |
(920) 445-0170 | |
(920) 445-0174 |
Full Name | Ashley Vandyck |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 424 S Monroe Ave Ste 201, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831777101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4928-226 (Wisconsin) | Primary |
Entity Name | Samaritan Counseling Center Of The Fox Valley, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538175195 PECOS PAC ID: 9234034349 Enrollment ID: O20031203000132 |
Mailing Address | Practice Location Address |
---|---|
Ashley Vandyck, LPC-IT 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 Ph: (920) 445-0170 | Ashley Vandyck, LPC-IT 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 Ph: (920) 445-0170 |
Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026 | |
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914 | |
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174 | |
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100 | |
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790 | |
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476 | |
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859 |