| Evangeline M Suquet, MAC, CSAC, LPC, CSIT | |
|
W9850 Airport Road, Black River Falls, WI 54615 | |
| (715) 284-9851 | |
| (715) 284-3434 |
| Full Name | Evangeline M Suquet |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | W9850 Airport Road, Black River Falls, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912147828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15705-132 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | 5231-125 (Wisconsin) | Secondary |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Evangeline M Suquet, MAC, CSAC, LPC, CSIT Po Box 918, W9850 Airport Road, Black River Falls, WI 54615 Ph: (715) 284-9851 | Evangeline M Suquet, MAC, CSAC, LPC, CSIT W9850 Airport Road, Black River Falls, WI 54615 Ph: (715) 284-9851 |
Duarte Cespedes Perez, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: W9850 Airport Road, Black River Falls, WI 54615 Phone: 715-284-9851 |
Mrs. Maryjane Christianson, CAPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-3434 |
Mr. John Pleugers, M.A. LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: W9850 Airport Road, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-3434 |
Jesse L Mann, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-3434 |
Lori Jean Mohring, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Wi-54, Black River Falls, WI 54615 Phone: 715-284-4301 Fax: 715-284-7713 |
Jodie Tirado, Counselor Medicare: Not Enrolled in Medicare Practice Location: W9850 Airport Rd., Black River Falls, WI 54615 Phone: 715-284-9851 |
Mrs. Ashley Virginia Ann Jakel, MSW, LCSW, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-3434 |