Patti Wagner, LPC | |
1701 Sharp Rd, Waterford, WI 53185-5214 | |
(920) 531-2662 | |
Not Available |
Full Name | Patti Wagner |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1701 Sharp Rd, Waterford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396255774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Lakeview Care Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083924732 PECOS PAC ID: 0840460259 Enrollment ID: O20110823000148 |
Mailing Address | Practice Location Address |
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Patti Wagner, LPC E7475 Rawhide Rd, New London, WI 54961-9025 Ph: () - | Patti Wagner, LPC 1701 Sharp Rd, Waterford, WI 53185-5214 Ph: (920) 531-2662 |
Charity R Lopez, MSW,LCSW, CSAC, CSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30401 Mountain Ln, Waterford, WI 53185 Phone: 262-455-4018 | |
Rebecca Jeanette Paruszkiewicz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 S River St, Waterford, WI 53185 Phone: 262-210-6739 | |
Melissa Schellenberger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-8565 | |
Tyler Charles Smith, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7957 W Wind Lake Rd Ste E, Waterford, WI 53185 Phone: 608-561-8656 | |
Selena L Letteer, LPC, CSAC, ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7957 W Wind Lake Rd Ste E, Waterford, WI 53185 Phone: 608-561-8656 | |
Hannah Marie Foltz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7957 W Wind Lake Rd Ste E, Waterford, WI 53185 Phone: 608-561-8656 |