Christopher J Marzonie, MA, LPC | |
19291 Northline Rd, Southgate, MI 48195-2220 | |
(734) 287-1500 | |
Not Available |
Full Name | Christopher J Marzonie |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 19291 Northline Rd, Southgate, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528276508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401006145 (Michigan) | Primary |
Entity Name | Pure Psychiatry Of Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
Mailing Address | Practice Location Address |
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Christopher J Marzonie, MA, LPC 1820 N Waverly St, Dearborn, MI 48128-1290 Ph: () - | Christopher J Marzonie, MA, LPC 19291 Northline Rd, Southgate, MI 48195-2220 Ph: (734) 287-1500 |
Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026 | |
Lisa Goss, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Ashley Marie Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Bldg 4, Southgate, MI 48195 Phone: 734-787-4053 | |
Wanda Denise Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7714 |