Ms Christine M Moore, LPC, SW | |
2001 W Broadway, Monona, WI 53713-3707 | |
(608) 807-8632 | |
Not Available |
Full Name | Ms Christine M Moore |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2001 W Broadway, Monona, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316376577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6962-125 (Wisconsin) | Primary |
104100000X | Social Worker | 39-120 (Wisconsin) | Secondary |
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240415002987 |
Mailing Address | Practice Location Address |
---|---|
Ms Christine M Moore, LPC, SW 2001 W Broadway, Monona, WI 53713-3707 Ph: (608) 807-8632 | Ms Christine M Moore, LPC, SW 2001 W Broadway, Monona, WI 53713-3707 Ph: (608) 807-8632 |
Rachelle M. Neckar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Monona Dr Ste 401, Monona, WI 53716 Phone: 608-709-5008 | |
Mr. Reid Durtschi, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2829 Royal Ave Ste 200, Monona, WI 53713 Phone: 608-661-2829 Fax: 608-661-0907 | |
Ashley Barry, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway Ste 104, Monona, WI 53713 Phone: 608-405-3002 | |
Ruchita Ervin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway Ste 104, Monona, WI 53713 Phone: 608-405-3002 | |
Danyelle Ronke Okesanjo, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway, Monona, WI 53713 Phone: 608-285-9101 Fax: 608-467-9635 | |
Mr. Gerald Wistein, ICS, CSAC, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Femrite Dr, Monona, WI 53716 Phone: 608-204-8491 | |
Valerie Henderson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Gisholt Dr, Ste 209, Monona, WI 53713 Phone: 414-202-9146 |