Holly Lynn Walters, LPC | |
1707 Main St, La Crosse, WI 54601-4200 | |
(608) 785-0001 | |
(608) 785-0002 |
Full Name | Holly Lynn Walters |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1707 Main St, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053465914 | NPI | - | NPPES |
HP66806 | Other | MN | HEALTHPARTNERS |
40999200 | Medicaid | WI | |
401K8WA | Other | MN | BCBS-MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3719-125 (Wisconsin) | Primary |
101YP2500X | Counselor - Professional | 00271 (Minnesota) | Secondary |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Holly Lynn Walters, LPC 66 E 3rd St, 201, Winona, MN 55987-3478 Ph: (507) 452-7292 | Holly Lynn Walters, LPC 1707 Main St, La Crosse, WI 54601-4200 Ph: (608) 785-0001 |
Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Rachel R Unseth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679 | |
Tanya L Kessen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488 | |
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004 | |
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287 | |
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908 |