| Ms Joan N Fuller, MA, LPC | |
|
901 4th St, Suite 160, Hudson, WI 54016-1681 | |
| (763) 210-9966 | |
| (763) 210-6886 |
| Full Name | Ms Joan N Fuller |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 901 4th St, Hudson, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023440377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Psychotherapy | 0941468011 | 8 |
| Entity Name | Gulf Coast Psychotherapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992093090 PECOS PAC ID: 0941468011 Enrollment ID: O20120221000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Joan N Fuller, MA, LPC 1497 Mallard Ave, Baldwin, WI 54002-5561 Ph: (651) 329-9112 | Ms Joan N Fuller, MA, LPC 901 4th St, Suite 160, Hudson, WI 54016-1681 Ph: (763) 210-9966 |
Brittany Iczkowski, LPCC, LADC, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 522 2nd Street #102, Hudson, WI 54016 Phone: 715-204-9840 |
Rochelle K Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438 |
Renee L. Vannocker, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438 |
Anastazia Acker, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 690 Elizabeth Way Apt 226, Hudson, WI 54016 Phone: 612-293-8830 |
Ms. Amanda Rose Lemay, LPCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Dominion Dr, Hudson, WI 54016 Phone: 715-808-8070 |
Daniel Patrick Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Crest View Dr Ste 120, Hudson, WI 54016 Phone: 651-292-2434 |
Amelia L Evans, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Suite 104, Hudson, WI 54016 Phone: 715-377-0000 Fax: 715-377-0010 |