| Rene Beth Domask, LPC | |
|
760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | |
| (920) 851-6404 | |
| Not Available |
| Full Name | Rene Beth Domask |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, 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 |
|---|---|---|---|
| 1740888544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6882-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Door-door County Library | 2062434194 | 6 |
| Entity Name | County Of Door-door County Library |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245265693 PECOS PAC ID: 2062434194 Enrollment ID: O20060103000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Rene Beth Domask, LPC 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 Ph: (920) 851-6404 | Rene Beth Domask, LPC 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 Ph: (920) 851-6404 |
Kristine Kelly Konrad, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-7113 | |
Mrs. Amy L Jahnke, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235 Phone: 920-743-4428 | |
Mrs. Cassandra Schraft, M.S.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2350 Fax: 920-746-2439 | |
Susan M Exworthy, LCSW CSAC Counselor Medicare: Medicare Enrolled Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Scott A Dadam, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2336 Fax: 920-746-2439 | |
Mallory Short, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 Park Dr, Sturgeon Bay, WI 54235 Phone: 920-255-8068 | |
Lisa Barnaby, Counselor Medicare: Medicare Enrolled Practice Location: 1958 Cedar Cir, Sturgeon Bay, WI 54235 Phone: 920-745-1904 |