Abbey J Dieckman, CSAC | |
108 W 2nd St N, Ladysmith, WI 54848-1338 | |
(715) 532-9771 | |
Not Available |
Full Name | Abbey J Dieckman |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 108 W 2nd St N, Ladysmith, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427322759 | NPI | - | NPPES |
1427322759 | Other | WI | DEANHEALTH PLAN |
1427322759 | Medicaid | WI | |
MALOMABB | Other | WI | MERCYCARE INSURANCE |
1427322759 | Other | WI | BCBSWI |
Entity Name | Aurora Counseling Centers Employee Support Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437240868 PECOS PAC ID: 2264338391 Enrollment ID: O20031210000266 |
Mailing Address | Practice Location Address |
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Abbey J Dieckman, CSAC 406 Technology Dr E Ste B, Menomonie, WI 54751-2768 Ph: (715) 235-4696 | Abbey J Dieckman, CSAC 108 W 2nd St N, Ladysmith, WI 54848-1338 Ph: (715) 532-9771 |
Ms. Gayle L Pierce, LPC CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W 9th St N Suite B, Aurora Community Counseling Employee Support & Services, Ladysmith, WI 54848 Phone: 715-532-9771 Fax: 715-532-9774 | |
Michelle Marie Sanderson, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W 9th St N, Suite B, Ladysmith, WI 54848 Phone: 715-532-9771 Fax: 715-532-9774 | |
Mrs. Kristine Elizabeth Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W 9th St N, Suite B, Ladysmith, WI 54848 Phone: 715-532-9771 Fax: 715-532-9774 | |
Jeffrey A Ahonen, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W 2nd St N, Ladysmith, WI 54848 Phone: 715-532-9771 Fax: 715-532-9774 | |
Lynnette Kay Jenness, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W 2nd St N, Ladysmith, WI 54848 Phone: 715-532-9771 Fax: 715-532-9774 | |
Shay Kohana Freeman, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W 2nd St N, Ladysmith, WI 54848 Phone: 715-532-9771 |