Dr Mary Diane Junglas, PHD, LMSW, CAAC is a
Social Worker - Clinical based in Detroit, Michigan. Dr Mary Diane Junglas is licensed to practice in Michigan (license number 6801057791) and her current practice location is
15000 Gratiot Ave, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 245-0600.
NPI number for Dr Mary Diane Junglas is 1760799183 and her current mailing address is 51108 Shelby Rd, Shelby Township, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760799183.
Healthcare Provider's Profile
Full Name | Dr Mary Diane Junglas |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15000 Gratiot Ave, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760799183
- Provider Enumeration Date: 09/07/2010
- Last Update Date: 09/07/2010
Medical Identifiers
Medical identifiers for Dr Mary Diane Junglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760799183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02432 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801057791 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Diane Junglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mary Diane Junglas, PHD, LMSW, CAAC 51108 Shelby Rd, Shelby Township, MI 48316-4051 Ph: (586) 254-1676 | Dr Mary Diane Junglas, PHD, LMSW, CAAC 15000 Gratiot Ave, Detroit, MI 48205-1973 Ph: (313) 245-0600 |
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