Ellyn Conhartoski, LPC-IT | |
7665 Us Highway 2, Iron River, WI 54847-4690 | |
(715) 372-5001 | |
Not Available |
Full Name | Ellyn Conhartoski |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7665 Us Highway 2, Iron River, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356972210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | The Lakes Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Ellyn Conhartoski, LPC-IT 7665 Us Highway 2, Iron River, WI 54847-4690 Ph: (715) 372-5001 | Ellyn Conhartoski, LPC-IT 7665 Us Highway 2, Iron River, WI 54847-4690 Ph: (715) 372-5001 |
James Roe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7665 Us Highway 2, Iron River, WI 54847 Phone: 715-372-5001 | |
Lesley Burg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7665 Us Highway 2, Iron River, WI 54847 Phone: 715-372-5001 Fax: 715-372-5067 | |
Mrs. De Ana Dawn Nelson, M.A., LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74840 County Highway A, Iron River, WI 54847 Phone: 715-813-0440 Fax: 833-536-1749 |