| Pamela Quezaire, MSE CSAC ICS | |
|
Pathways To A Better Life, Llc, 13111 Lax Chapel Road, Kiel, WI 53042 | |
| (920) 894-1374 | |
| (920) 894-1373 |
| Full Name | Pamela Quezaire |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | Pathways To A Better Life, Llc, Kiel, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053468207 | NPI | - | NPPES |
| 39363000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1504.11846 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1504.11846 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Quezaire, MSE CSAC ICS 530 State Road 67, Po Box 347, Kiel, WI 53042 Ph: (920) 286-4462 | Pamela Quezaire, MSE CSAC ICS Pathways To A Better Life, Llc, 13111 Lax Chapel Road, Kiel, WI 53042 Ph: (920) 894-1374 |
Abigail Ann Miller, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-286-4489 | |
Andrew James Jacobchick, BA, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Hwy 67, Kiel, WI 53042 Phone: 920-797-4457 Fax: 920-894-1373 | |
Mrs. Brittany Jean Danes, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-286-4488 Fax: 920-894-1373 | |
Tristan Albert Ertman, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 State Road 67, Kiel, WI 53042 Phone: 920-894-1374 Fax: 920-894-1373 | |
Jeffrey Lee Janikowski, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-797-4419 Fax: 920-894-4471 | |
Angelique Netzband-fischer, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-797-4614 |