Jacquelyn Buffo, | |
15420 19 Mile Rd, Clinton Township, MI 48038-6339 | |
(586) 226-7007 | |
Not Available |
Full Name | Jacquelyn Buffo |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 15420 19 Mile Rd, Clinton Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104231729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401013525 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401013525 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Buffo, 3079 S Baldwin Rd # 3020, Lake Orion, MI 48359-1028 Ph: (586) 464-7432 | Jacquelyn Buffo, 15420 19 Mile Rd, Clinton Township, MI 48038-6339 Ph: (586) 226-7007 |
Ms. Diane K Schalk, MA LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036 Phone: 586-649-8410 | |
Ms. Sarah Jane Domke, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19800 Hall Rd, Clinton Township, MI 48038 Phone: 586-948-0222 | |
Laura Casey-aydt, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 21885 Dunham Rd, Ste. 1, Clinton Township, MI 48036 Phone: 586-469-5955 | |
Ms. Deborah Ann Stanley, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36800 S Gratiot Ave, Suite Ll2, Clinton Township, MI 48035 Phone: 586-746-1428 | |
Michelle Lyon, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22800 Hall Rd Ste 240, Clinton Township, MI 48036 Phone: 517-676-5405 Fax: 517-676-5460 | |
Mrs. Judith Kay Sawall, L.M.S.W., B.C.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 43740 N Groesbeck Hwy, Clinton Township, MI 48036 Phone: 586-469-7629 | |
Ms. Ann Marie Murphy, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24401 Capital Blvd, Clinton Township, MI 48036 Phone: 586-783-2950 |