| Cheryl Brost, MS | |
|
1 W Geneva St, Elkhorn, WI 53121-1722 | |
| (262) 723-3424 | |
| Not Available |
| Full Name | Cheryl Brost |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1 W Geneva St, Elkhorn, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437401874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4790-125 (Wisconsin) | Primary |
| Entity Name | American Behavioral Clinics Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144313859 PECOS PAC ID: 7517937964 Enrollment ID: O20040731000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Brost, MS W5595 Oak Bluffs Rd, Fontana, WI 53125-1180 Ph: (262) 275-6954 | Cheryl Brost, MS 1 W Geneva St, Elkhorn, WI 53121-1722 Ph: (262) 723-3424 |
Jacquelyn Rupnik, LPC-WI-4813-125 Counselor Medicare: Medicare Enrolled Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 | |
Mrs. Bonnie L Connolly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 | |
Linda Flahive Hornak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W4063 Hwy Nn, Elkhorn, WI 53121 Phone: 262-741-1440 Fax: 262-743-2221 | |
Mark Weitkum, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-1455 Fax: 262-723-1556 | |
Catherine L Griffith, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Julie Valler, MS, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Timothy Swanson, MS, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 |