Jamie Diestelhorst, | |
631 Forest St, Wausau, WI 54403-5524 | |
(715) 842-0944 | |
Not Available |
Full Name | Jamie Diestelhorst |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 631 Forest St, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245704188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4252-226 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4252-226 (Wisconsin) | Primary |
Entity Name | Point Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871138115 PECOS PAC ID: 2264865971 Enrollment ID: O20191211002097 |
Mailing Address | Practice Location Address |
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Jamie Diestelhorst, 631 Forest St, Wausau, WI 54403-5524 Ph: () - | Jamie Diestelhorst, 631 Forest St, Wausau, WI 54403-5524 Ph: (715) 842-0944 |
Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5398 | |
Tania Valentina Alarcon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 S. 36th Avenue, Wausau, WI 54401 Phone: 855-607-8242 |