Kathryn Heinzen, LPC | |
9003 Polifka Rd, Whitelaw, WI 54247-9782 | |
(262) 707-6747 | |
Not Available |
Full Name | Kathryn Heinzen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 9003 Polifka Rd, Whitelaw, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588214639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7156-125 (Wisconsin) | Primary |
Entity Name | Production Farm, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306460126 PECOS PAC ID: 6406391200 Enrollment ID: O20240717000941 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Heinzen, LPC 20405 Hilltop Rd, Reedsville, WI 54230-9215 Ph: (262) 707-6747 | Kathryn Heinzen, LPC 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (262) 707-6747 |
Ellen Cary, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Emily Koller Kunde, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Laura Roth, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Samantha Grathen, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Miss Vanessa Marie Wright-cybela, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 |