| Compass Counseling Wausau, Llc | |
|
1202 Callon St Wausau WI 54401-4231 | |
| (715) 297-6774 | |
| Not Available |
| Full Name | Compass Counseling Wausau, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1202 Callon St, Wausau, Wisconsin |
| Authorized Official Name and Position | Tracy Lyn Peterson (OWNER) |
| Authorized Official Contact | 7152976774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling Wausau, Llc 1202 Callon St Wausau WI 54401-4231 Ph: (715) 297-6774 | Compass Counseling Wausau, Llc 1202 Callon St Wausau WI 54401-4231 Ph: (715) 297-6774 |
| NPI Number | 1720387095 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 03/25/2011 |
| Medicare PECOS PAC ID | 2860657657 |
|---|---|
| Medicare Enrollment ID | O20231219002605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720387095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (Wisconsin) | Primary |
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