Vicki Lynn Riley, LPC-IT | |
14301 County Highway B Bldg A19, Sparta, WI 54656-0044 | |
(608) 269-8624 | |
(608) 269-8935 |
Full Name | Vicki Lynn Riley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 14301 County Highway B Bldg A19, Sparta, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609399625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2688-226 (Wisconsin) | Primary |
Entity Name | County Of Monroe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881813152 PECOS PAC ID: 0042120222 Enrollment ID: O20051031000417 |
Mailing Address | Practice Location Address |
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Vicki Lynn Riley, LPC-IT 14301 County Highway B Bldg A19, Sparta, WI 54656-4509 Ph: (608) 269-8624 | Vicki Lynn Riley, LPC-IT 14301 County Highway B Bldg A19, Sparta, WI 54656-0044 Ph: (608) 269-8624 |
Vang Moua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St, Sparta, WI 54656 Phone: 608-501-1189 | |
Bianka Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Kimberly Buchanan Krupicka, LCSW CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 West Main Street, Sparta, WI 54656 Phone: 608-269-4132 Fax: 608-269-1017 | |
Ms. Petra M Hagen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 N Black River St, Sparta, WI 54656 Phone: 608-632-2135 | |
Troy Harris, BS, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Prairie Ave, Sparta, WI 54656 Phone: 608-633-8065 | |
Genoa Hartmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Amanda J Falkers, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 Fax: 888-928-1124 |