| Joel D Petty, | |
|
505 Broadway St, Baraboo, WI 53913-2183 | |
| (608) 355-4210 | |
| Not Available |
| Full Name | Joel D Petty |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 505 Broadway St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639212467 | NPI | - | NPPES |
| 1025011 | Other | WI | PHYSICIANS PLUS |
| 11991 | Other | WI | DEAN HEALTH PLAN |
| 39600574011 | Other | WI | UNITY HEALTH INSURANCE |
| 39784200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joel D Petty, 329 2nd Ave, Baraboo, WI 53913-2459 Ph: () - | Joel D Petty, 505 Broadway St, Baraboo, WI 53913-2183 Ph: (608) 355-4210 |
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 |