| Roberta A Mack, MS CADCIII LPC | |
|
212 S 11th Street, Lacrosse, WI 54601 | |
| (608) 791-9555 | |
| (608) 791-9432 |
| Full Name | Roberta A Mack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 212 S 11th Street, Lacrosse, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558302026 | NPI | - | NPPES |
| 39715500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11611 (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 3598 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta A Mack, MS CADCIII LPC 700 West Avenue South, Attn Physician Services, Lacrosse, WI 54601 Ph: (608) 791-4156 | Roberta A Mack, MS CADCIII LPC 212 S 11th Street, Lacrosse, WI 54601 Ph: (608) 791-9555 |
Amy S Cina, CADC CCSG Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Jackson St, Lacrosse, WI 54601 Phone: 608-791-6147 Fax: 608-791-9511 | |
Julie A Conway, SW LPC Counselor Medicare: Medicare Enrolled Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432 | |
Georgia R Keenan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432 | |
Debra A Murray, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432 | |
John S Schulze, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 Division Street, Lacrosse, WI 54601 Phone: 608-782-7700 Fax: 608-791-9431 | |
Pamela K Reynolds, CADC III CC5G Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Jackson Street, Lacrosse, WI 54601 Phone: 608-791-6147 Fax: 608-791-9511 |