| Samantha Dyson, LPC-IT | |
|
W62n281 Washington Ave, Cedarburg, WI 53012-2737 | |
| (262) 623-7161 | |
| Not Available |
| Full Name | Samantha Dyson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | W62n281 Washington Ave, Cedarburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881464568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7046-226 (Wisconsin) | Primary |
| Entity Name | Kettle Moraine Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568790954 PECOS PAC ID: 8527353747 Enrollment ID: O20200416001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Dyson, LPC-IT W62n281 Washington Ave, Cedarburg, WI 53012-2737 Ph: (262) 623-7161 | Samantha Dyson, LPC-IT W62n281 Washington Ave, Cedarburg, WI 53012-2737 Ph: (262) 623-7161 |
Ms. Janelle Elizabeth Clark, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7861 State Road 60, Cedarburg, WI 53012 Phone: 262-546-1050 Fax: 262-546-1051 |
Margaret Paulus, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W67n222 Evergreen Blvd Ste 209, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 |
Amy A Miles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62 N248 Washington Avenue, Suite#207, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 |
Melissa Neitzel, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: N50w5050 Portland Rd, Cedarburg, WI 53012 Phone: 144-573-3135 |
David Dich, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave, Suite#207, Cedarburg, WI 53012 Phone: 262-375-0879 |
Michael D Helwig, Counselor Medicare: Not Enrolled in Medicare Practice Location: W67n222 Evergreen Blvd Ste 209, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 |
Daniella Aranda-pino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave Ste 207, Cedarburg, WI 53012 Phone: 262-375-1116 Fax: 262-375-1071 |