Alfred Delos Santos, LPC | |
1200 N West Ave, Jackson, MI 49202-2179 | |
(517) 780-3390 | |
Not Available |
Full Name | Alfred Delos Santos |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1200 N West Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982168639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401015078 (Michigan) | Primary |
Entity Name | Jackson-hillsdale Community Mental Health Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063466274 PECOS PAC ID: 6406808062 Enrollment ID: O20050211000601 |
Mailing Address | Practice Location Address |
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Alfred Delos Santos, LPC 1241 E Mcdevitt Ave, Jackson, MI 49203-6069 Ph: (517) 812-0856 | Alfred Delos Santos, LPC 1200 N West Ave, Jackson, MI 49202-2179 Ph: (517) 780-3390 |
Mrs. Juliana Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Fern Ave, Jackson, MI 49202 Phone: 517-247-2033 | |
Ms. Deborah Ann Mcdonald, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 | |
Mrs. Rosemary Jordon Beals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-783-5334 Fax: 517-783-6064 | |
Eric G Kelly, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Rd, Jackson, MI 49201 Phone: 517-750-3869 | |
Mr. Michael Lee Freytag, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-474-3793 Fax: 517-796-4561 | |
Christian L Mccaslin, LPC, MA Counselor Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-780-3336 Fax: 517-796-4561 | |
Carlos Alfredo Larios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 1st St, Jackson, MI 49201 Phone: 517-998-4673 Fax: 517-998-0005 |