Mr Gary A Grahl, LPC | |
50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 | |
(920) 743-4428 | |
(920) 743-4681 |
Full Name | Mr Gary A Grahl |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 50 S Madison Ave, Sturgeon Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770692832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3779-125 (Wisconsin) | Primary |
Entity Name | Agnesian Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
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Mr Gary A Grahl, LPC 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 Ph: (920) 743-4428 | Mr Gary A Grahl, LPC 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 Ph: (920) 743-4428 |
Kristine Kelly Konrad, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-7113 | |
Mrs. Amy L Jahnke, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235 Phone: 920-743-4428 | |
Mrs. Cassandra Schraft, M.S.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2350 Fax: 920-746-2439 | |
Cassaundra Bratz, MA, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-7155 | |
Susan M Exworthy, LCSW CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Mallory Short, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 Park Dr, Sturgeon Bay, WI 54235 Phone: 920-255-8068 | |
Lisa Barnaby, Counselor Medicare: Medicare Enrolled Practice Location: 1958 Cedar Cir, Sturgeon Bay, WI 54235 Phone: 920-745-1904 |