| Thomas L Charles, MSW, LCSW | |
|
108 E North St, Friendship, WI 53934-9443 | |
| (608) 339-4511 | |
| (608) 339-4593 |
| Full Name | Thomas L Charles |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 108 E North St, Friendship, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265429260 | NPI | - | NPPES |
| 39587400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4207-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L Charles, MSW, LCSW 108 E North St, Friendship, WI 53934-9443 Ph: (608) 339-4511 | Thomas L Charles, MSW, LCSW 108 E North St, Friendship, WI 53934-9443 Ph: (608) 339-4511 |
Ashley Schlachter, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4387 | |
Mr. Mark Christopher Rossano, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 Fax: 608-339-4585 | |
Paula Squier, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Lake St, Friendship, WI 53934 Phone: 608-474-4355 Fax: 608-474-4309 | |
Trevor J Meyer, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 | |
Ms. Diane Kay Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4511 Fax: 608-339-4593 | |
Sarah Ross, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 West Lake St., Friendship, WI 55934 Phone: 920-787-5514 Fax: 920-787-4737 |