Kathleen George-bol, LPC | |
114 Grand Ave, Wausau, WI 54403-6214 | |
(715) 845-7175 | |
(715) 845-7142 |
Full Name | Kathleen George-bol |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 114 Grand Ave, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801915988 | NPI | - | NPPES |
40951800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3298-125 (Wisconsin) | Primary |
Entity Name | The Centre For Well-being, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144426495 PECOS PAC ID: 6002083920 Enrollment ID: O20120118000196 |
Mailing Address | Practice Location Address |
---|---|
Kathleen George-bol, LPC 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175 | Kathleen George-bol, LPC 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175 |
Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5398 | |
Tania Valentina Alarcon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 S. 36th Avenue, Wausau, WI 54401 Phone: 855-607-8242 |