Kaylee T Ninnemann, LPC | |
140 School Creek Trl, Luxemburg, WI 54217-1095 | |
(920) 845-1370 | |
(920) 845-1379 |
Full Name | Kaylee T Ninnemann |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 140 School Creek Trl, Luxemburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184075434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6777-125 (Wisconsin) | Primary |
Entity Name | Bellin Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Entity Name | Bellin Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884 |
Mailing Address | Practice Location Address |
---|---|
Kaylee T Ninnemann, LPC Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Kaylee T Ninnemann, LPC 140 School Creek Trl, Luxemburg, WI 54217-1095 Ph: (920) 845-1370 |
Nicholas C Rogge, LPC Counselor Medicare: Medicare Enrolled Practice Location: 140b School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-1370 Fax: 920-845-1379 | |
Jennifer Vanden Avond, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 854 Ralph St, Luxemburg, WI 54217 Phone: 920-255-5711 |