| Patricia Gustafson, | |
|
1225 Langlade Road, Antigo, WI 54409 | |
| (715) 623-2394 | |
| (715) 627-4194 |
| Full Name | Patricia Gustafson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1225 Langlade Road, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245326891 | NPI | - | NPPES |
| 39631000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 554-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Gustafson, 1100 Lake View Drive, Wausau, WI 54403 Ph: (715) 848-4600 | Patricia Gustafson, 1225 Langlade Road, Antigo, WI 54409 Ph: (715) 623-2394 |
Amanda E Baddmoccosin-barnes, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 | |
Anna M Wheelock, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 Fax: 715-627-6645 | |
Sarah Petroskey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 Fax: 715-627-6645 | |
Mr. Thomas E Mcgrath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Clermont St, Antigo, WI 54409 Phone: 715-627-0371 Fax: 715-845-8483 | |
Suzanne Marie Pennington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 | |
Aubrey Leigh D Newton, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-327-6694 |