Laura A Waldvogel, MSE, LPC | |
114 Grand Ave, Wausau, WI 54403-6214 | |
(715) 845-7175 | |
(715) 845-7142 |
Full Name | Laura A Waldvogel |
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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 |
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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 |
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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 |