| Gregory Clark, | |
|
225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 | |
| (563) 252-2537 | |
| (608) 326-0420 |
| Full Name | Gregory Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 225 N Beaumont Rd, Prairie Du Chien, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164409728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2888-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Clark, 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 Ph: (563) 252-2537 | Gregory Clark, 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 Ph: (563) 252-2537 |
Lynette R Kansier, Counselor Medicare: Medicare Enrolled Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 | |
Darlene M Meiners, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 S Buchanan St, Prairie Du Chien, WI 53821 Phone: 608-357-2700 | |
Dixie L Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 Fax: 608-326-0810 | |
Matthew Cram, Counselor Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2430 | |
Lacie L Anthony, LPC Counselor Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2000 | |
Trina Lynne Kroening-skime, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2415 |