Ms Sandra Holmes, MS, CSAC, LPC | |
420 Dewey St, Wisconsin Rapids, WI 54494-4714 | |
(715) 847-2772 | |
Not Available |
Full Name | Ms Sandra Holmes |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 420 Dewey St, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164084018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2061-125 (Wisconsin) | Primary |
Entity Name | Aspirus Riverview Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
Mailing Address | Practice Location Address |
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Ms Sandra Holmes, MS, CSAC, LPC 3000 Westhill Dr Ste 100, Wausau, WI 54401-3795 Ph: (715) 847-2772 | Ms Sandra Holmes, MS, CSAC, LPC 420 Dewey St, Wisconsin Rapids, WI 54494-4714 Ph: (715) 847-2772 |
Louanne Pufall, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8844 Fax: 715-421-2266 | |
Thomas Michael Surendonk, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Karalee Flinders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St S, Wisconsin Rapids, WI 54494 Phone: 715-712-1370 | |
Ms. Constance K Virnig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Mrs. Janelle Kathleen Hafermann, LPC, CSAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495 Phone: 715-421-1107 Fax: 715-421-1108 | |
Tracy Renderman, SAC, IDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8869 |