Jacob Anthony Thomas Lindstrand, MS, LPC-IT, SAC-IT | |
N3152 State Road 81, Monroe, WI 53566-8821 | |
(608) 328-9352 | |
Not Available |
Full Name | Jacob Anthony Thomas Lindstrand |
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Gender | Male |
Speciality | Counselor - Professional |
Location | N3152 State Road 81, Monroe, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821662867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 19421 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 5338-226 (Wisconsin) | Primary |
Entity Name | County Of Green |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992925085 PECOS PAC ID: 8921057712 Enrollment ID: O20050119000589 |
Mailing Address | Practice Location Address |
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Jacob Anthony Thomas Lindstrand, MS, LPC-IT, SAC-IT N3152 State Road 81, Monroe, WI 53566-8821 Ph: (608) 328-9352 | Jacob Anthony Thomas Lindstrand, MS, LPC-IT, SAC-IT N3152 State Road 81, Monroe, WI 53566-8821 Ph: (608) 328-9352 |
Cari Gwendolyn Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2841 6th St, Monroe, WI 53566 Phone: 608-328-9352 | |
Daniel Harold Doden, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9308 Fax: 608-328-9480 | |
Anita Maria Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9357 | |
Susan Shanks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1209 17th Ave, Monroe, WI 53566 Phone: 608-426-6463 Fax: 608-631-3009 | |
Barbara R Alexander, B.S., CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9304 Fax: 608-328-9480 | |
Janet Arce, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 Fax: 608-328-9480 | |
Sarah Ragan, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 |