Jearald Dudley Ii, | |
47 Carriage Way, Ypsilanti, MI 48197-7430 | |
(734) 757-0308 | |
Not Available |
Full Name | Jearald Dudley Ii |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 47 Carriage Way, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851908636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Jaycar Wellness Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427769215 PECOS PAC ID: 4082084975 Enrollment ID: O20230111000854 |
Mailing Address | Practice Location Address |
---|---|
Jearald Dudley Ii, 47 Carriage Way, Ypsilanti, MI 48197-7430 Ph: (734) 757-0308 | Jearald Dudley Ii, 47 Carriage Way, Ypsilanti, MI 48197-7430 Ph: (734) 757-0308 |
Ms. Dawn Elaine Chalker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Washtenaw Rd, Ypsilanti, MI 48197 Phone: 734-417-2664 | |
Jason Francis Schwartz, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Edward Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2891 International Dr Apt 1944c, Ypsilanti, MI 48197 Phone: 313-820-7444 | |
Samantha Maria Bastianelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Packard Rd Ste 4, Ypsilanti, MI 48197 Phone: 734-480-8099 Fax: 734-999-3779 | |
Staci Zonca, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544 | |
Sima Haghpassand Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7716 Pioneer Dr, Ypsilanti, MI 48197 Phone: 734-915-8510 | |
Alex Laursen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Evelyn Ave, Ypsilanti, MI 48198 Phone: 863-899-3214 |