Mr Christopher Hanke, LPC, SAC | |
501 Park Ave, Oconto, WI 54153 | |
(920) 834-7019 | |
(920) 834-6889 |
Full Name | Mr Christopher Hanke |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 501 Park Ave, Oconto, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467879296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16059-131 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 6175 (Wisconsin) | Primary |
Entity Name | Human Services Board Serving North Central Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205944543 PECOS PAC ID: 4385617786 Enrollment ID: O20040813001207 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Hanke, LPC, SAC 501 Park Ave, Oconto, WI 54153-1612 Ph: (920) 834-7019 | Mr Christopher Hanke, LPC, SAC 501 Park Ave, Oconto, WI 54153 Ph: (920) 834-7019 |
David Schreiter, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7030 Fax: 920-834-6889 | |
Mrs. Julie A Whitworth, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 Fax: 920-834-6889 | |
Mark Daniel Dittloff, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-834-8833 Fax: 920-834-8830 | |
Todd Robert Holman, MSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-5500 Fax: 920-835-5510 | |
Lori Jo Eklund Walsh, LCSW,LPC,SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-5500 Fax: 920-835-5510 | |
Kimberly Guerrero, LCSW CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 2nd St, Oconto, WI 54153 Phone: 920-461-6995 |