| Shawna Clough, | |
|
2217 Vine St, Hudson, WI 54016-5863 | |
| (715) 441-1828 | |
| Not Available |
| Full Name | Shawna Clough |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2217 Vine St, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821460429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1381-124 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 4625 (Minnesota) | Secondary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna Clough, 2217 Vine St, Hudson, WI 54016-5863 Ph: (715) 441-1828 | Shawna Clough, 2217 Vine St, Hudson, WI 54016-5863 Ph: (715) 441-1828 |
Rashelle Nichole Anderson, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 Hanley Rd Ste 202, Hudson, WI 54016 Phone: 715-381-1980 Fax: 715-381-1906 | |
Krista Jo Dorgan, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2217 Vine Street #206, Hudson, WI 55001 Phone: 651-998-4048 | |
Kylie Mccormick, MS, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 Hanley Rd Ste 201, Hudson, WI 54016 Phone: 534-544-5247 | |
Allison B. Heeter-condon, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2217 Vine St, Suite 206, Hudson, WI 54016 Phone: 715-821-0833 Fax: 888-802-9673 | |
Michelle Nicole King, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 757 Martin Ave, Hudson, WI 54016 Phone: 612-599-5331 | |
Kacey King, MS, MFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2217 Vine St Ste 206, Hudson, WI 54016 Phone: 715-441-1828 | |
Hannah M Huemmer, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 2501 Hanley Rd Ste 201, Hudson, WI 54016 Phone: 534-544-5247 Fax: 534-544-5248 |