| Kimberly Fairchild, LPC | |
|
400 S Townline Rd, Wautoma, WI 54982-6922 | |
| (920) 787-5514 | |
| Not Available |
| Full Name | Kimberly Fairchild |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 400 S Townline Rd, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225424286 | NPI | - | NPPES |
| 100043623 | Medicaid | WI | |
| K401235342 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7129-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Fairchild, LPC 1472 16th Ave, Arkdale, WI 54613-9624 Ph: (920) 889-9388 | Kimberly Fairchild, LPC 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514 |
Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725 | |
Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 | |
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Bethany J Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Veronica Eckstein, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 |