| Amanda Keagle, | |
|
926 S 8th St, Manitowoc, WI 54220-4535 | |
| (920) 683-4230 | |
| (920) 683-4908 |
| Full Name | Amanda Keagle |
|---|---|
| Gender | |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 926 S 8th St, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912707266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20801 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Keagle, 926 S 8th St, Manitowoc, WI 54220-4535 Ph: (920) 683-4230 | Amanda Keagle, 926 S 8th St, Manitowoc, WI 54220-4535 Ph: (920) 683-4230 |
Lana L. Roever, M.S., S.A.C.I.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S. 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908 | |
Mrs. Corrin Laurene Applekamp, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 | |
Courtney Balthazor, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 Fax: 920-215-4918 | |
Kirstin Duprey, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 | |
Justine Boonperm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4251 | |
Nicole Bonin, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 816 Washington St, Manitowoc, WI 54220 Phone: 920-645-3743 | |
Austin David Lucas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 926 South 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908 |