| Jeremy Vern Woodliff, LPC | |
|
230 Park St, Wautoma, WI 54982-9031 | |
| (920) 787-6550 | |
| (920) 787-0421 |
| Full Name | Jeremy Vern Woodliff |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 230 Park St, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316616592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4018-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 8752-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Vern Woodliff, LPC Po Box 1230, Wautoma, WI 54982-1230 Ph: (920) 787-6550 | Jeremy Vern Woodliff, LPC 230 Park St, Wautoma, WI 54982-9031 Ph: (920) 787-6550 |
Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725 | |
Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 | |
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Michele L Rasmussen, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 | |
Bethany Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Jena Vonfeldt, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: N3095 Lake Dr, Wautoma, WI 54982 Phone: 406-212-3293 |