| Mrs Sarah Rose Drake-ricart, ATR, LPC | |
|
371 E 1st St, Fond Du Lac, WI 54935-4563 | |
| (920) 907-3967 | |
| Not Available |
| Full Name | Mrs Sarah Rose Drake-ricart |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 371 E 1st St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518192509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6804-125 (Wisconsin) | Primary |
| 221700000X | Art Therapist | 107-36 (Wisconsin) | Secondary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sarah Rose Drake-ricart, ATR, LPC 371 E 1st St, Fond Du Lac, WI 54935-4563 Ph: (920) 907-8201 | Mrs Sarah Rose Drake-ricart, ATR, LPC 371 E 1st St, Fond Du Lac, WI 54935-4563 Ph: (920) 907-3967 |
Jenna R Pieper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
Amanda Rentmeester, Counselor Medicare: Not Enrolled in Medicare Practice Location: W6986 Newton Rd, Fond Du Lac, WI 54937 Phone: 414-416-7368 | |
Sandra M Schug, MS, LPC-IT, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 | |
Tania Rhoads, CISW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Forest Ave, Suite 116, Fond Du Lac, WI 54935 Phone: 920-907-0813 Fax: 920-907-0826 | |
Kaitlyn Kenealy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St Ste M05, Fond Du Lac, WI 54935 Phone: 920-659-5414 | |
Lynn Marie Genz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933 | |
Mrs. Jessica Marie Fischer, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 E 1st St, Fond Du Lac, WI 54935 Phone: 920-907-3967 |