Heather Frederick, LPC, CAADC, CCS | |
8765 Lewis Ave, Temperance, MI 48182-9583 | |
(734) 847-3802 | |
Not Available |
Full Name | Heather Frederick |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8765 Lewis Ave, Temperance, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003020249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Family Medical Center Of Michigan,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265591812 PECOS PAC ID: 2769575653 Enrollment ID: O20070910000059 |
Mailing Address | Practice Location Address |
---|---|
Heather Frederick, LPC, CAADC, CCS 7250 Douglas Rd, Lambertville, MI 48144-9488 Ph: (734) 652-6782 | Heather Frederick, LPC, CAADC, CCS 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 |
Havert Beal Ii, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-850-6900 | |
Jennifer Buie, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 | |
Ashley Renee' Adebiyi, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-654-2169 Fax: 734-850-0520 | |
Ms. Marsha Elaine Manon, MED, LPCC-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2230 Camden Ln, Temperance, MI 48182 Phone: 419-343-6927 | |
Joshua Hotaling, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7081 Powlesland Ave, Temperance, MI 48182 Phone: 419-708-7117 | |
Natalia Cortes Ferreira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-654-2169 |