| In Focus Counseling, Llc | |
|
320 Main Ave Ste 202a De Pere WI 54115-2225 | |
| (920) 217-5871 | |
| Not Available |
| Full Name | In Focus Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 320 Main Ave Ste 202a, De Pere, Wisconsin |
| Authorized Official Name and Position | Peg Kubiak (CLINICAL DIRECTOR/CO-OWNER) |
| Authorized Official Contact | 9202175871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Focus Counseling, Llc 320 Main Ave Ste 202a De Pere WI 54115-2225 Ph: (920) 217-5871 | In Focus Counseling, Llc 320 Main Ave Ste 202a De Pere WI 54115-2225 Ph: (920) 217-5871 |
| NPI Number | 1477285260 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 9830637727 |
|---|---|
| Medicare Enrollment ID | O20240809001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477285260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tina Marie Baeten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386793248 PECOS PAC ID: 8224299870 Enrollment ID: I20120409000437 |
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