| County Of Jackson | |
|
421 County Road R Black River Falls WI 54615-5129 | |
| (715) 284-4301 | |
| Not Available |
| Full Name | County Of Jackson |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 County Road R, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Pam Taylor (BEHAVIORAL HEALTH SPECIALIST) |
| Authorized Official Contact | 7152844301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Jackson 421 County Road R Black River Falls WI 54615-5129 Ph: (715) 284-4301 | County Of Jackson 421 County Road R Black River Falls WI 54615-5129 Ph: (715) 284-4301 |
| NPI Number | 1801114632 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 08/20/2019 |
| Medicare PECOS PAC ID | 7012996317 |
|---|---|
| Medicare Enrollment ID | O20230726002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801114632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karla K. Dunlap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609383306 PECOS PAC ID: 9032551429 Enrollment ID: I20240530003499 |
Jackson County Department Of Health & Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 County Road R, Black River Falls, WI 54615 Phone: 715-284-4301 Fax: 715-284-7713 | |
Family & Children's Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 County Road R, Black River Falls, WI 54615 Phone: 715-284-9477 Fax: 715-284-5547 | |
Northwest Journey - Black River Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6643 County Road A, Black River Falls, WI 54615 Phone: 715-284-1100 Fax: 715-284-1145 | |
Cat Confidential Authentic Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Main St, Black River Falls, WI 54615 Phone: 920-791-3042 | |
Garson Growth & Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 N 1st St, Black River Falls, WI 54615 Phone: 715-284-0361 Fax: 715-333-5007 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 County Road R, Black River Falls, WI 54615 Phone: 715-284-9477 Fax: 715-284-5547 |