| Jolene A Derfus, SAC-IT | |
|
3144 Vanzile Rd, Crandon, WI 54520-8149 | |
| (715) 478-5180 | |
| Not Available |
| Full Name | Jolene A Derfus |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3144 Vanzile Rd, Crandon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598336620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19242 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jolene A Derfus, SAC-IT 4851 Ham Lake Rd, Wabeno, WI 54566-9084 Ph: (715) 850-1707 | Jolene A Derfus, SAC-IT 3144 Vanzile Rd, Crandon, WI 54520-8149 Ph: (715) 478-5180 |
James Seymour, CSW/CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4332 | |
Jennifer Krzmarcik, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4370 | |
David Rynearson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Karen A Minx, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Road, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904 | |
Nicholas Bolte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Diane M Baird, LICENSED PROFESSIONA Counselor Medicare: Medicare Enrolled Practice Location: 3163 State Hwy 55, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904 |