| Emily Koller Kunde, LPC-IT | |
|
9003 Polifka Rd, Whitelaw, WI 54247-9782 | |
| (920) 403-0021 | |
| Not Available |
| Full Name | Emily Koller Kunde |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 9003 Polifka Rd, Whitelaw, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124578786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2206-226 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Core Treatment Services, Inc. | 6608267430 | 6 |
| Entity Name | Core Treatment Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659912319 PECOS PAC ID: 6608267430 Enrollment ID: O20220105000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Koller Kunde, LPC-IT 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021 | Emily Koller Kunde, LPC-IT 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021 |
Ellen Cary, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Brielle Vanderfin, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Laura Roth, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Kathryn Heinzen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 262-707-6747 | |
Samantha Grathen, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Miss Vanessa Marie Wright-cybela, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 |