| Laura A Waldvogel, MSE, LPC | |
|
114 Grand Ave, Wausau, WI 54403-6214 | |
| (715) 845-7175 | |
| (715) 845-7142 |
| Full Name | Laura A Waldvogel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 114 Grand Ave, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376662189 | NPI | - | NPPES |
| 40951500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3231-125 (Wisconsin) | Primary |
| Entity Name | La Clinica De Los Campesinos, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Waldvogel, MSE, LPC 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175 | Laura A Waldvogel, MSE, LPC 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175 |
Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Medicare Enrolled Practice Location: 100 N 72nd Ave, Wausau, WI 54401 Phone: 715-301-0267 Fax: 844-444-0672 | |
Tania Valentina Alarcon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 S. 36th Avenue, Wausau, WI 54401 Phone: 855-607-8242 |