Kaitlyn Marie Villalpando, LPC | |
575 4th St, Kewaunee, WI 54216-1785 | |
(920) 388-4640 | |
(920) 338-0479 |
Full Name | Kaitlyn Marie Villalpando |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 575 4th St, Kewaunee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689195653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3573-226 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 7465-125 (Wisconsin) | Primary |
Entity Name | Oconto County Finance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598848640 PECOS PAC ID: 4688835507 Enrollment ID: O20120912000457 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Marie Villalpando, LPC 744 S Webster Ave, Medical Staff Services, Green Bay, WI 54301-3505 Ph: () - | Kaitlyn Marie Villalpando, LPC 575 4th St, Kewaunee, WI 54216-1785 Ph: (920) 388-4640 |
Ms. Lisa Marie Burkart, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln St, Kewaunee, WI 54216 Phone: 920-388-7030 Fax: 920-388-7044 | |
Maureen C O'shea, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln St, Kewaunee, WI 54216 Phone: 920-388-7030 Fax: 920-388-7124 | |
Joanne Lee Tulachka, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln Street, Kewaunee, WI 54216 Phone: 920-388-7030 Fax: 920-388-7044 | |
Mr. Scott R Gartzke, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln Street, Kewaunee, WI 54216 Phone: 920-388-7030 Fax: 920-388-7044 | |
Denise A Harmann, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln Street, Kewaunee, WI 54216 Phone: 920-388-7030 Fax: 920-388-7044 | |
Jennifer Rae Gozdzialski, M.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Lincoln St, Kewaunee, WI 54216 Phone: 920-388-7044 Fax: 920-388-7044 |