| Nicole Deziel, LPC | |
|
733 W Clairemont Ave, Eau Claire, WI 54701-6101 | |
| (715) 838-5222 | |
| (715) 832-2991 |
| Full Name | Nicole Deziel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 733 W Clairemont Ave, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679731806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4443-125 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4443-125 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Deziel, LPC 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Nicole Deziel, LPC 733 W Clairemont Ave, Eau Claire, WI 54701-6101 Ph: (715) 838-5222 |
Suzanne M Stewart, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |
Annelies Luellen White, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3703 Oakwood Hills Pkwy Ste 100, Eau Claire, WI 54701 Phone: 534-444-4562 Fax: 534-444-4563 |
Mrs. Amy Hahn, LPC, ATR Counselor Medicare: May Accept Medicare Assignments Practice Location: 930 Galloway St Ste 16, Eau Claire, WI 54703 Phone: 715-600-3440 Fax: 715-201-3172 |
Grace Caroline Mathews, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3119 Golf Rd Ste 107, Eau Claire, WI 54701 Phone: 715-201-4209 Fax: 888-423-1002 |
Gena Leigh Callihan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2855 Lorch Ave, Eau Claire, WI 54701 Phone: 715-828-8030 Fax: 866-479-7981 |
Cassandra Judkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701 Phone: 715-214-7575 |
Jordyn Lee Kaminski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2194 Eastridge Ctr Fl 1, Eau Claire, WI 54701 Phone: 715-598-1568 |