James Roe, LPC | |
7665 Us Highway 2, Iron River, WI 54847-4690 | |
(715) 372-5001 | |
Not Available |
Full Name | James Roe |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 7665 Us Highway 2, Iron River, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144768300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6364-125 (Wisconsin) | Primary |
Entity Name | Family Therapy Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215239736 PECOS PAC ID: 5395273536 Enrollment ID: O20250115002328 |
Mailing Address | Practice Location Address |
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James Roe, LPC 7665 Us Highway 2, Iron River, WI 54847-4690 Ph: (715) 372-5001 | James Roe, LPC 7665 Us Highway 2, Iron River, WI 54847-4690 Ph: (715) 372-5001 |
Ellyn Conhartoski, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 7665 Us Highway 2, Iron River, WI 54847 Phone: 715-372-5001 | |
Mrs. Kathryn Lee Mazur, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7665 Us Highway 2, Iron River, WI 54847 Phone: 715-372-5001 Fax: 715-372-5067 | |
Lesley Burg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7665 Us Highway 2, Iron River, WI 54847 Phone: 715-372-5001 Fax: 715-372-5067 | |
Mrs. De Ana Dawn Nelson, M.A., LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74840 County Highway A, Iron River, WI 54847 Phone: 715-813-0440 Fax: 833-536-1749 |