| Marissa Alexandra Duncan, LPC | |
|
1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 | |
| (262) 427-8905 | |
| Not Available |
| Full Name | Marissa Alexandra Duncan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1317 W Grand Ave Ste 6, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134995152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11237-125 (Wisconsin) | Primary |
| Entity Name | Cornerstone Counseling Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
| Entity Name | Family Service Agency Of Waukesha County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568404671 PECOS PAC ID: 0648168823 Enrollment ID: O20040309000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Alexandra Duncan, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (262) 427-8905 | Marissa Alexandra Duncan, LPC 1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 Ph: (262) 427-8905 |
Mrs. Ashley Ann Schmitz, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074 Phone: 262-235-4385 Fax: 414-310-0377 | |
Jessica Ollman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8148 Fax: 262-284-8209 | |
Mrs. Heather Lynn Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8229 Fax: 262-284-8104 | |
Marcy Drummy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Austin Schultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-427-8905 | |
Bonnie Halper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 |