Jennifer S Laboda, MA LLPC NCC SCL | |
54583 Joseph Ronald Dr, Macomb, MI 48042-2329 | |
(586) 322-9972 | |
Not Available |
Full Name | Jennifer S Laboda |
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Gender | Female |
Speciality | Counselor |
Location | 54583 Joseph Ronald Dr, Macomb, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043645120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401012493 (Michigan) | Primary |
101YS0200X | Counselor - School | SC0000000771196 (Michigan) | Secondary |
Entity Name | Lakeside Professional Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073084083 PECOS PAC ID: 8729483078 Enrollment ID: O20210824003131 |
Mailing Address | Practice Location Address |
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Jennifer S Laboda, MA LLPC NCC SCL 54583 Joseph Ronald Dr, Macomb, MI 48042-2329 Ph: (586) 322-9972 | Jennifer S Laboda, MA LLPC NCC SCL 54583 Joseph Ronald Dr, Macomb, MI 48042-2329 Ph: (586) 322-9972 |
Lisa C Beauvais, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49587 Hiddenbrook Dr, Macomb, MI 48042 Phone: 586-612-1631 | |
Latosia Rena-denise Logan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 45964 Brentwood St, Macomb, MI 48042 Phone: 586-948-0665 | |
Anna Hickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17937 Hall Rd, Macomb, MI 48044 Phone: 586-255-0499 | |
Kathryn Felcyn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48772 Fairmont Dr, Macomb, MI 48044 Phone: 586-212-5814 | |
Mrs. Michelle L. Siev, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 21400 Dogleg Dr, Macomb, MI 48042 Phone: 586-598-7403 | |
Jay Gerald Blazius, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47252 Grand Cypress Ct, Macomb, MI 48044 Phone: 586-872-5111 |