| Gary S Holden, CADCIII | |
|
412 W Kinne St, Ellsworth, WI 54011 | |
| (715) 273-6770 | |
| (715) 273-6862 |
| Full Name | Gary S Holden |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 412 W Kinne St, Ellsworth, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588737001 | NPI | - | NPPES |
| 39381400 | Medicaid | WI | |
| 920461040138 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2028 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Holden, CADCIII Po Box 670, Ellsworth, WI 54011-0670 Ph: (715) 273-6770 | Gary S Holden, CADCIII 412 W Kinne St, Ellsworth, WI 54011 Ph: (715) 273-6770 |
Kayla Marie Buck, MS,LPC,CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 West Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Dr. Mark Clifford Gillen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 257 N Piety St, Ellsworth, WI 54011 Phone: 715-425-3890 | |
Kristie F Simmons, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Hannah Newman, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 | |
Kathryn P Vandusartz, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Mrs. Joyce Caryn Barker, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 West Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Rebecca Dunne, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 W. Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 |