Jessica A Krueger, MS, LPC, CSAC, CS-IT | |
505 Broadway St, Baraboo, WI 53913-2183 | |
(608) 355-4200 | |
(608) 355-4299 |
Full Name | Jessica A Krueger |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 505 Broadway St, Baraboo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609117316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16090-132 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 5661-125 (Wisconsin) | Primary |
Entity Name | Sauk County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528056819 PECOS PAC ID: 7618931148 Enrollment ID: O20041115001185 |
Mailing Address | Practice Location Address |
---|---|
Jessica A Krueger, MS, LPC, CSAC, CS-IT Po Box 29, Baraboo, WI 53913-0029 Ph: (608) 355-4200 | Jessica A Krueger, MS, LPC, CSAC, CS-IT 505 Broadway St, Baraboo, WI 53913-2183 Ph: (608) 355-4200 |
Jennifer Stuber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 | |
Mrs. Mary Ann Roth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: E12155 Side Rd, Baraboo, WI 53913 Phone: 608-209-4480 Fax: 608-355-0527 | |
Joseph White Eagle Sr., SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-355-9588 | |
Mrs. Amanda Jo Reimer, SAC-IT, SWTC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 Fax: 608-355-4299 | |
Ms. Jennifer Ann Linderud, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Broadway St, Baraboo, WI 53913 Phone: 608-402-4312 Fax: 608-355-0459 | |
Judy A Hannaford, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Jefferson St, Baraboo, WI 53913 Phone: 608-356-1533 | |
Dawn L Heckenkamp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Elizabeth St, Baraboo, WI 53913 Phone: 608-477-9858 Fax: 877-560-0578 |