| Mary Nahwahquaw, CSAC | |
|
W3272 Wolf River Dr, Keshena, WI 54135-9202 | |
| (715) 799-3861 | |
| (715) 799-3517 |
| Full Name | Mary Nahwahquaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | W3272 Wolf River Dr, Keshena, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467941161 | NPI | - | NPPES |
| 100084797 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15255-132 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Nahwahquaw, CSAC Po Box 280, Keshena, WI 54135-0280 Ph: () - | Mary Nahwahquaw, CSAC W3272 Wolf River Dr, Keshena, WI 54135-9202 Ph: (715) 799-3861 |
Rachel B Kielblock, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3929 | |
Susan Suski, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3861 Fax: 715-799-3517 | |
Melissa May Wescott, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3861 | |
Danielle Marie Kakwitch, MA, LPC IT Counselor Medicare: Not Enrolled in Medicare Practice Location: W3275 Wolf River Rd, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3929 | |
Mrs. Carol Lynn Marie Reichardt, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-5854 | |
Neil C Van Rossum, MS, LCSW, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Drive, Keshena, WI 54135 Phone: 715-799-3861 Fax: 715-799-3517 | |
Diane Marie Hietpas, MA, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-5400 Fax: 715-799-1326 |