| Patricia M Kenote-deperry, | |
|
37390 N Bradum Rd, Bayfield, WI 54814-4832 | |
| (715) 779-3741 | |
| (715) 779-3765 |
| Full Name | Patricia M Kenote-deperry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 37390 N Bradum Rd, Bayfield, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003906009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19738 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M Kenote-deperry, 88385 Pike Rd, Bayfield, WI 54814-4818 Ph: () - | Patricia M Kenote-deperry, 37390 N Bradum Rd, Bayfield, WI 54814-4832 Ph: (715) 779-3741 |
Nicole Renee Gurnoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 36745 Aiken Rd, Bayfield, WI 54814 Phone: 715-779-3707 Fax: 715-779-3711 | |
Tamara L Kolesar, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 36745 Aiken Rd, Bayfield, WI 54814 Phone: 715-779-3707 Fax: 715-779-3362 | |
Mr. Martin A Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37390 N Bradum Rd, Bayfield, WI 54814 Phone: 715-779-3741 Fax: 715-779-3765 | |
Ms. Bernadette Rock, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 88385 Pike Rd, Bayfield, WI 54814 Phone: 715-779-3741 Fax: 715-779-3765 | |
Ms. Gail Marie Lemieux, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37390 N Bradum Rd, Bayfield, WI 54814 Phone: 715-779-3741 Fax: 715-779-3765 | |
Mr. James E Peacock, CSAC, ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 36745 Aiken Rd, Bayfield, WI 54814 Phone: 715-779-3707 Fax: 715-779-3362 |