Alicia Damgard, LPC | |
301 N Main St, Lake City, MI 49651-5102 | |
(231) 295-1196 | |
Not Available |
Full Name | Alicia Damgard |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 301 N Main St, Lake City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629731575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401223166 (Michigan) | Primary |
Entity Name | Family Supportive Services Of Northern Michigan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164943353 PECOS PAC ID: 5092051144 Enrollment ID: O20190109003415 |
Mailing Address | Practice Location Address |
---|---|
Alicia Damgard, LPC 150 Hunters Rdg, Cadillac, MI 49601-8006 Ph: () - | Alicia Damgard, LPC 301 N Main St, Lake City, MI 49651-5102 Ph: (231) 295-1196 |
Mrs. Stacey Marie Hiltz Kaminski, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 S Canal St, Lake City, MI 49651 Phone: 231-342-8105 | |
Andrea A Podsaid, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1691 Coaster Rd, Lake City, MI 49651 Phone: 231-649-4703 | |
Loretta Kay Pickford, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 W Forest Rd, Lake City, MI 49651 Phone: 231-434-8587 | |
Ms. L. Kim Duvall, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 S Morey Rd, Ste. B, Lake City, MI 49651 Phone: 517-673-0553 Fax: 231-295-1096 | |
Ms. Carol Anne Shetenhelm, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1489 W Houghton Lake Rd, Lake City, MI 49651 Phone: 231-429-0009 |