Holly Dwyer, LPC-IT | |
507 S Main St, Viroqua, WI 54665-2059 | |
(608) 637-2101 | |
Not Available |
Full Name | Holly Dwyer |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 507 S Main St, Viroqua, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225609324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 10361-125 (Wisconsin) | Primary |
Entity Name | Vernon Memorial Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144226507 PECOS PAC ID: 8325958416 Enrollment ID: O20040420001202 |
Mailing Address | Practice Location Address |
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Holly Dwyer, LPC-IT 507 S Main St, Viroqua, WI 54665-2059 Ph: (608) 637-2101 | Holly Dwyer, LPC-IT 507 S Main St, Viroqua, WI 54665-2059 Ph: (608) 637-2101 |
Joanna Marie Fanning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Ms. Laura Carol Cavanaugh, LPCC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Ms. Rita Gould Berkley, MAET , ATR, DT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Barbara K Welsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Mr. Patrick K Kelley, CSAC,ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-785-0002 | |
Mark Sandberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Jefferson St, Viroqua, WI 54665 Phone: 608-632-3286 |