| Diana Claire Burkee, | |
|
402 S Black River St Ste 125, Sparta, WI 54656-2043 | |
| (608) 501-1189 | |
| Not Available |
| Full Name | Diana Claire Burkee |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 402 S Black River St Ste 125, Sparta, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568130169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Nystrom & Associates Counseling Wi Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Claire Burkee, 900 Viterbo Dr, La Crosse, WI 54601-8804 Ph: () - | Diana Claire Burkee, 402 S Black River St Ste 125, Sparta, WI 54656-2043 Ph: (608) 501-1189 |
Dr. Teresa M Davis, EDD, LMHC, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18626 Ibsen Rd, Sparta, WI 54656 Phone: 608-487-1894 | |
Vang Moua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St, Sparta, WI 54656 Phone: 608-501-1189 | |
Bianka Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Kimberly Buchanan Krupicka, LCSW CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 West Main Street, Sparta, WI 54656 Phone: 608-269-4132 Fax: 608-269-1017 | |
Ms. Petra M Hagen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 N Black River St, Sparta, WI 54656 Phone: 608-632-2135 | |
Troy Harris, BS, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Prairie Ave, Sparta, WI 54656 Phone: 608-633-8065 | |
Amanda J Falkers, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 Fax: 888-928-1124 |