Kristen Kimble Houslet, LPC | |
302 W Lake St, Friendship, WI 53934-9698 | |
(608) 474-4355 | |
(608) 474-4309 |
Full Name | Kristen Kimble Houslet |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 302 W Lake St, Friendship, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154836039 | NPI | - | NPPES |
100074034 | Medicaid | WI | |
7628-125 | Other | WI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7628-125 (Wisconsin) | Primary |
Entity Name | La Clinica De Los Campesinos Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
Mailing Address | Practice Location Address |
---|---|
Kristen Kimble Houslet, LPC 571 Braund St, Onalaska, WI 54650-8556 Ph: (608) 785-7000 | Kristen Kimble Houslet, LPC 302 W Lake St, Friendship, WI 53934-9698 Ph: (608) 474-4355 |
Ashley Schlachter, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4387 | |
Mr. Mark Christopher Rossano, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 Fax: 608-339-4585 | |
Paula Squier, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Lake St, Friendship, WI 53934 Phone: 608-474-4355 Fax: 608-474-4309 | |
Thomas L Charles, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4511 Fax: 608-339-4593 | |
Trevor J Meyer, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 | |
Ms. Diane Kay Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4511 Fax: 608-339-4593 |