Mr Theodore John East, MSMFT | |
108 W 2nd St N, Ladysmith, WI 54848-1338 | |
(715) 532-9771 | |
(715) 532-9774 |
Full Name | Mr Theodore John East |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 35 Years |
Location | 108 W 2nd St N, Ladysmith, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447742838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 235-124 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 3364-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Counseling Centers Employee Support Systems Inc | 2264338391 | 6 |
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 |
---|---|
Mr Theodore John East, MSMFT W7163 Deertail Rd, Ladysmith, WI 54848-9344 Ph: (715) 403-1688 | Mr Theodore John East, MSMFT 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 | |
Abbey J Dieckman, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W 2nd St N, Ladysmith, WI 54848 Phone: 715-532-9771 | |
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 |