Lydia Jean Haker, | |
1118 Twilight Dr, De Pere, WI 54115-1372 | |
(715) 966-3596 | |
Not Available |
Full Name | Lydia Jean Haker |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1118 Twilight Dr, 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 |
---|---|---|---|
1245759190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3537-226 (Wisconsin) | Primary |
Entity Name | County Of Door-door County Library |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245265693 PECOS PAC ID: 2062434194 Enrollment ID: O20060103000615 |
Mailing Address | Practice Location Address |
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Lydia Jean Haker, 611 Butler St, De Pere, WI 54115-1203 Ph: () - | Lydia Jean Haker, 1118 Twilight Dr, De Pere, WI 54115-1372 Ph: (715) 966-3596 |
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 | |
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 | |
Marie D. Ibarra Stafford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Stephanie Prevost, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Ms. Deanna L Dittloff, Counselor Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 |