Dante Jones, LPC | |
6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 | |
(616) 891-8770 | |
Not Available |
Full Name | Dante Jones |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 6505 Cherry Meadow Dr Se, Caledonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114367620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401013717 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
Mailing Address | Practice Location Address |
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Dante Jones, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Dante Jones, LPC 6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 Ph: (616) 891-8770 |
Mark Recker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6505 Cherry Meadow Dr Se, Caledonia, MI 49316 Phone: 616-891-8770 Fax: 616-891-3504 | |
Nancy Iveson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7419 N Noffke Dr, Caledonia, MI 49316 Phone: 616-891-7652 | |
Holly Devivo, MA, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5092 N Morgan Ln Se, Caledonia, MI 49316 Phone: 616-516-5360 | |
Wesley Keith Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se, Suite C, Caledonia, MI 49316 Phone: 616-219-0159 | |
Ashley Nederveld, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4474 2nd St, Caledonia, MI 49316 Phone: 616-291-3434 | |
Jennifer Ann Bathrick, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6505 Cherry Meadow Dr Se, Caledonia, MI 49316 Phone: 616-891-8770 |