| Molly C Skinner, LPC-IT AND SAC-IT | |
|
1111 W Wisconsin St, Sparta, WI 54656-2233 | |
| (608) 269-1588 | |
| Not Available |
| Full Name | Molly C Skinner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1111 W Wisconsin St, Sparta, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780152603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4177-226 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16422 (Wisconsin) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly C Skinner, LPC-IT AND SAC-IT 1707 Main St, La Crosse, WI 54601-4200 Ph: (608) 785-0001 | Molly C Skinner, LPC-IT AND SAC-IT 1111 W Wisconsin St, Sparta, WI 54656-2233 Ph: (608) 269-1588 |
Vang Moua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St, Sparta, WI 54656 Phone: 608-501-1189 | |
Bianka Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Kimberly Buchanan Krupicka, LCSW CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 West Main Street, Sparta, WI 54656 Phone: 608-269-4132 Fax: 608-269-1017 | |
Ms. Petra M Hagen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 N Black River St, Sparta, WI 54656 Phone: 608-632-2135 | |
Troy Harris, BS, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Prairie Ave, Sparta, WI 54656 Phone: 608-633-8065 | |
Genoa Hartmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Amanda J Falkers, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 Fax: 888-928-1124 |