| Chantell Phillips, LPC, CSAC | |
|
2920 East Ave S, Suite 100, La Crosse, WI 54601-8282 | |
| (608) 738-6635 | |
| Not Available |
| Full Name | Chantell Phillips |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2920 East Ave S, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861970444 | NPI | - | NPPES |
| Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Chantell Phillips, LPC, CSAC 933 Tyler St, La Crosse, WI 54601-5555 Ph: (608) 738-6635 | Chantell Phillips, LPC, CSAC 2920 East Ave S, Suite 100, La Crosse, WI 54601-8282 Ph: (608) 738-6635 |
Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Rachel R Unseth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679 | |
Tanya L Kessen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488 | |
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004 | |
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287 | |
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908 |