Eclectic Counseling | |
704 Sand Lake Rd Ste 205 Onalaska WI 54650-2456 | |
(608) 519-1400 | |
(608) 519-0446 |
Full Name | Eclectic Counseling |
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Speciality | Social Worker |
Location | 704 Sand Lake Rd Ste 205, Onalaska, Wisconsin |
Authorized Official Name and Position | Billie Jo Marie Jester (OWNER, PSYCHOTHERAPIST) |
Authorized Official Contact | 6083170879 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eclectic Counseling 704 Sand Lake Rd Ste 205 Onalaska WI 54650-2456 Ph: (608) 519-1400 | Eclectic Counseling 704 Sand Lake Rd Ste 205 Onalaska WI 54650-2456 Ph: (608) 519-1400 |
NPI Number | 1356011324 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 09/20/2021 |
Certification Date | 09/20/2021 |
Medicare PECOS PAC ID | 8224410204 |
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Medicare Enrollment ID | O20220808002149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356011324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Billie Jo Marie Jester |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154665206 PECOS PAC ID: 9133501117 Enrollment ID: I20220808002260 |
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