| La Shanda Tolefree, BA, MS | |
|
3536 52nd St, Kenosha, WI 53144-2662 | |
| (262) 842-0538 | |
| (262) 842-0539 |
| Full Name | La Shanda Tolefree |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 3536 52nd St, Kenosha, 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 |
|---|---|---|---|
| 1003350422 | NPI | - | NPPES |
| 100227567 | Medicaid | WI | |
| 17018131 | Other | WI | SUBSTANCE ABUSE COUNSELOR |
| 8095125 | Other | WI | LICENSED PROFESSIONAL COUNSELOR |
| Entity Name | Kenosha Human Development Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942470661 PECOS PAC ID: 0143467720 Enrollment ID: O20130520000465 |
| Mailing Address | Practice Location Address |
|---|---|
| La Shanda Tolefree, BA, MS 3536 52nd St, Kenosha, WI 53144-2662 Ph: (262) 842-0538 | La Shanda Tolefree, BA, MS 3536 52nd St, Kenosha, WI 53144-2662 Ph: (262) 842-0538 |
Laura Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 | |
Jami Lynn Pomeroy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008 | |
Madeline Marie Beth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Green Bay Rd, Kenosha, WI 53144 Phone: 708-738-6077 | |
Aislynn Gavin, Counselor Medicare: May Accept Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132 | |
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-452-3684 Fax: 262-330-1475 | |
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 |