| Amos Thao, LPC | |
|
3860 Monroe Rd, De Pere, WI 54115-8399 | |
| (920) 496-4700 | |
| Not Available |
| Full Name | Amos Thao |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3860 Monroe Rd, De Pere, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295493245 | NPI | - | NPPES |
| 100197638 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10882-125 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10882-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amos Thao, LPC Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Amos Thao, LPC 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700 |
Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360 | |
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939 | |
Marie D. Ibarra Stafford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Stephanie Prevost, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Ms. Deanna L Dittloff, Counselor Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 |