| Elizabeth A Cook, LPC | |
|
N3682 County Rd W, New London, WI 54961-8811 | |
| (920) 600-8055 | |
| (920) 389-8050 |
| Full Name | Elizabeth A Cook |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | N3682 County Rd W, New London, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225483977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.009815 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 6005 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Cook, LPC N3682 County Rd W, New London, WI 54961-8811 Ph: (920) 600-8055 | Elizabeth A Cook, LPC N3682 County Rd W, New London, WI 54961-8811 Ph: (920) 600-8055 |
Amanda Beth Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 877-300-9101 | |
Lisa Behnke, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 920-531-2651 Fax: 920-982-5040 | |
Hannah Christine Konetzke, CSAC, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 920-982-6100 | |
Ms. Julie A. Fischer, MSE, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: E8172 Cut Off Rd, New London, WI 54961 Phone: 920-982-4242 | |
Mr. Kenneth John Schroeder I, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 920-538-4504 Fax: 920-982-5040 | |
Gabrielle R Gore, Counselor Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 715-610-0139 |