Mr Dan J Braaten, LMFT, SAC | |
3860 Monroe Rd, De Pere, WI 54115-8399 | |
(920) 496-4700 | |
Not Available |
Full Name | Mr Dan J Braaten |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 3860 Monroe Rd, De Pere, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053477158 | NPI | - | NPPES |
40954900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 14817-131 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 670-124 (Wisconsin) | Primary |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
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Mr Dan J Braaten, LMFT, SAC Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Mr Dan J Braaten, LMFT, SAC 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700 |
Danielle Casper, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Mr. Mark R Eklund, LCSW,MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Kathleen Barrow, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Patrick J Stumbras, PSYD Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Miss Ashley Gardon, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Kristina K Hunter, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Ms. Vanessa Lynn Knippel, M.A., LMFT 53937 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1141 W Main Ave Ste 201, De Pere, WI 54115 Phone: 920-338-1610 Fax: 920-338-1616 |