Jennifer Maddox, LLPC | |
5659 Cardwell St, Garden City, MI 48135-2902 | |
(313) 463-9441 | |
Not Available |
Full Name | Jennifer Maddox |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5659 Cardwell St, Garden City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295285112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401015621 (Michigan) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
Mailing Address | Practice Location Address |
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Jennifer Maddox, LLPC 5659 Cardwell St, Garden City, MI 48135-2902 Ph: () - | Jennifer Maddox, LLPC 5659 Cardwell St, Garden City, MI 48135-2902 Ph: (313) 463-9441 |
Nadia Selameh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Inkster Rd, Garden City, MI 48135 Phone: 313-307-0088 Fax: 313-281-2235 | |
Dr. Philip O'dwyer, ED.D, CSW, CACII Counselor Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-3395 Fax: 734-458-3394 | |
Stephanie Buchanan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33119 Bock St, Garden City, MI 48135 Phone: 734-776-7040 | |
Manal Hazime, Counselor Medicare: Medicare Enrolled Practice Location: 577 Inkster Rd, Garden City, MI 48135 Phone: 734-338-2148 Fax: 248-354-4979 | |
Ms. Kathy Gale Love, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31550 Chester St, Garden City, MI 48135 Phone: 734-278-9494 | |
Rolisia L Siebert, MA LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32485 Leona St, Garden City, MI 48135 Phone: 248-207-9242 |