Ryan Andrew Jacobson, | |
1810 N 2nd St, Wausau, WI 54403-3492 | |
(715) 848-4884 | |
(715) 845-5385 |
Full Name | Ryan Andrew Jacobson |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1810 N 2nd St, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144479395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 78952 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 1094-124 (Wisconsin) | Primary |
Entity Name | The Centre For Well-being, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144426495 PECOS PAC ID: 6002083920 Enrollment ID: O20120118000196 |
Mailing Address | Practice Location Address |
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Ryan Andrew Jacobson, 1810 N 2nd St, Wausau, WI 54403-3492 Ph: (715) 848-4884 | Ryan Andrew Jacobson, 1810 N 2nd St, Wausau, WI 54403-3492 Ph: (715) 848-4884 |
Ms. Katie L Brueggen, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 855-607-8242 | |
Jennifer A. Starkey Munson, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2620 Stewart Ave Ste 310, Wausau, WI 54401 Phone: 715-848-0525 Fax: 715-848-8665 | |
Ms. Amie Jayne Leonoff, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 901 N. 6th St, The Centre For Wellbeing, Wausau, WI 54403 Phone: 715-848-5022 Fax: 888-778-6750 | |
John Booth, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 N 28th Ave, Suite 200, Wausau, WI 54401 Phone: 715-845-4900 | |
Mr. Greg Joel Turinetti, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 631 Forest St, Wausau, WI 54403 Phone: 715-842-0944 Fax: 715-845-6477 | |
Dr. Tanya Ann Simonis, PH.D Couples Therapy Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 |