| Holley Dornfeld, SAC-IT | |
|
571 County Road A, Green Lake, WI 54941-8630 | |
| (920) 294-4070 | |
| (920) 294-4139 |
| Full Name | Holley Dornfeld |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 571 County Road A, Green Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669072872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19295-130 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Holley Dornfeld, SAC-IT 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 | Holley Dornfeld, SAC-IT 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 |
Amy M Higginbotham, MS Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Abby Noel Vogt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Tammi Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Emily Roth Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Nichol Wienkes, Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Ann Loretta Frintner, CSAC CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 |