Mr Sean Patrick Fauls, MS, LPC | |
W4051 County Road Nn, Elkhorn, WI 53121-4338 | |
(262) 741-3200 | |
(262) 741-3217 |
Full Name | Mr Sean Patrick Fauls |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | W4051 County Road Nn, Elkhorn, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750490264 | NPI | - | NPPES |
43585100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3030-125 (Wisconsin) | Primary |
Entity Name | Affiliated Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851473698 PECOS PAC ID: 0244124899 Enrollment ID: O20040212000835 |
Mailing Address | Practice Location Address |
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Mr Sean Patrick Fauls, MS, LPC W4051 County Road Nn, Elkhorn, WI 53121-4338 Ph: (262) 741-3200 | Mr Sean Patrick Fauls, MS, LPC W4051 County Road Nn, Elkhorn, WI 53121-4338 Ph: (262) 741-3200 |
Jacquelyn Rupnik, LPC-WI-4813-125 Counselor Medicare: Medicare Enrolled Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 | |
Mrs. Bonnie L Connolly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 | |
Linda Flahive Hornak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W4063 Hwy Nn, Elkhorn, WI 53121 Phone: 262-741-1440 Fax: 262-743-2221 | |
Mark Weitkum, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-1455 Fax: 262-723-1556 | |
Catherine L Griffith, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Julie Valler, MS, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Timothy Swanson, MS, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 |