Provider Demographics
NPI:1659430296
Name:SHAGER, GINGER R (CADC III)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:R
Last Name:SHAGER
Suffix:
Gender:F
Credentials:CADC III
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:R
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC III
Mailing Address - Street 1:E2245 QUAIL RUN RD
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:715-835-2652
Mailing Address - Fax:
Practice Address - Street 1:408 RED CEDAR ST
Practice Address - Street 2:AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT & SERVICES
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751
Practice Address - Country:US
Practice Address - Phone:715-235-4696
Practice Address - Fax:715-235-3941
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14162101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42022400Medicaid