Gregory Konopka, MA | |
43825 Michigan Ave, Canton, MI 48188-2551 | |
(734) 397-3088 | |
Not Available |
Full Name | Gregory Konopka |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 43825 Michigan Ave, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992120562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Hegira Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753 |
Mailing Address | Practice Location Address |
---|---|
Gregory Konopka, MA 3250 N Monroe St, Monroe, MI 48162-9297 Ph: (734) 384-3402 | Gregory Konopka, MA 43825 Michigan Ave, Canton, MI 48188-2551 Ph: (734) 397-3088 |
Mr. Nathaniel Edison Ponder, CADC, CTP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-495-1722 | |
Mary Blackmon, CPRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-431-2357 | |
Michelle Fitzhugh, Counselor Medicare: Medicare Enrolled Practice Location: 1685 Christopher Dr, Canton, MI 48188 Phone: 734-664-5016 | |
Evelyn Colleen Conklin, MS-RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 43835 Brandywyne Rd, Canton, MI 48187 Phone: 734-459-8991 | |
Mr. Tyler Manns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43825 Michigan Ave, Canton, MI 48188 Phone: 734-397-3088 | |
Kerry Anne Minshew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42283 Highgate Ct, Canton, MI 48187 Phone: 734-981-9081 Fax: 734-981-9081 | |
Cecelia Salamone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47329 Ashley Ct, Canton, MI 48187 Phone: 734-576-2220 |