Angela M Byczynski, | |
1400 Gull Rd, Kalamazoo, MI 49048-1605 | |
(269) 385-8512 | |
Not Available |
Full Name | Angela M Byczynski |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1400 Gull Rd, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205068707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 6401012798 (Michigan) | Primary |
Entity Name | Kalamazoo County Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176 |
Mailing Address | Practice Location Address |
---|---|
Angela M Byczynski, 1400 Gull Rd, Kalamazoo, MI 49048-1605 Ph: (269) 385-8512 | Angela M Byczynski, 1400 Gull Rd, Kalamazoo, MI 49048-1605 Ph: (269) 385-8512 |
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