Tammy Marie Mott-hoffman, LPC | |
324 S Andrews St, Shawano, WI 54166-2406 | |
(715) 524-4840 | |
Not Available |
Full Name | Tammy Marie Mott-hoffman |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 324 S Andrews St, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194466193 | NPI | - | NPPES |
7895-125 | Other | WI | STATE LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7895-125 (Wisconsin) | Primary |
Entity Name | Lutheran Counseling And Family Services Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184703290 PECOS PAC ID: 4587565742 Enrollment ID: O20040120000343 |
Mailing Address | Practice Location Address |
---|---|
Tammy Marie Mott-hoffman, LPC W11251 Sunrise Rd, Gresham, WI 54128-9013 Ph: (715) 853-7651 | Tammy Marie Mott-hoffman, LPC 324 S Andrews St, Shawano, WI 54166-2406 Ph: (715) 524-4840 |
Mrs. Tracy Van Ert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Lavonne Jacobson, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Mrs. Katie Jane Bartell, MA, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Donna M Jashinsky, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 E Elizabeth St, Shawano, WI 54166 Phone: 715-851-8550 | |
Katie Marie Marquardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 | |
Charles E Lamarche, ACSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Green Bay St, Ste 201, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 |