| Rita Jean Brafford, LCSW, CADC-D | |
|
888 Thackeray Trl, 105, Oconomowoc, WI 53066-4342 | |
| (262) 542-3255 | |
| (262) 567-5451 |
| Full Name | Rita Jean Brafford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 888 Thackeray Trl, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700992708 | NPI | - | NPPES |
| 13350 | Other | WI | ALCOHOL & DRUG COUNSELOR |
| 39788800 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6612-123 (Wisconsin) | Primary |
| Entity Name | Cornerstone Counseling Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Rita Jean Brafford, LCSW, CADC-D 1230 Corporate Center Dr, Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 542-3255 | Rita Jean Brafford, LCSW, CADC-D 888 Thackeray Trl, 105, Oconomowoc, WI 53066-4342 Ph: (262) 542-3255 |
Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759 | |
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451 | |
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191 | |
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515 | |
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 | |
Amanda Donath, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 712 Summit Ave Ste 714, Oconomowoc, WI 53066 Phone: 262-226-2006 Fax: 262-226-2462 | |
Kayla Housh-kornowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-646-1865 |