| Mr Timothy J Fale, | |
|
206 Court St, Chilton, WI 53014-1127 | |
| (920) 849-1400 | |
| (920) 849-1468 |
| Full Name | Mr Timothy J Fale |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 206 Court St, Chilton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437291234 | NPI | - | NPPES |
| 12747 | Other | WI | CADC WISCONSIN CERT. BD. |
| 39614400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 3699-123 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy J Fale, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400 | Mr Timothy J Fale, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400 |
Miss Shannon K Teska, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Dawn Marie Dohr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Megan Schmitt, MA Counselor Medicare: Medicare Enrolled Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Ms. Carmen Marie Persaud, LPC CSAC CSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Mr. Dennis E Fischer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Mrs. Kristi L Leclair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 |