| Ms Krissa Ann Roberson, LPC | |
|
1325 Angels Path, De Pere, WI 54115-4050 | |
| (920) 338-2855 | |
| Not Available |
| Full Name | Ms Krissa Ann Roberson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1325 Angels Path, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639703242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10660-125 (Wisconsin) | Primary |
| Entity Name | Two Rivers Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093486722 PECOS PAC ID: 7416322268 Enrollment ID: O20230407001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Krissa Ann Roberson, LPC Po Box 23400, Medical Staff Services, Green Bay, WI 54305-2144 Ph: (920) 433-7411 | Ms Krissa Ann Roberson, LPC 1325 Angels Path, De Pere, WI 54115-4050 Ph: (920) 338-2855 |
Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360 | |
Cassandra Vanstraten, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939 | |
Danielle Casper, LMFT, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Marie D. Ibarra Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |