Jeremy Michael Malzon, MA, LPC | |
5675 Fairview St, Stevensville, MI 49127-1033 | |
(269) 429-7727 | |
Not Available |
Full Name | Jeremy Michael Malzon |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5675 Fairview St, Stevensville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467960922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401016442 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401019819 (Michigan) | Primary |
Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
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Jeremy Michael Malzon, MA, LPC 4065 Buffalo Rd, Buchanan, MI 49107-8426 Ph: (715) 644-8069 | Jeremy Michael Malzon, MA, LPC 5675 Fairview St, Stevensville, MI 49127-1033 Ph: (269) 429-7727 |
Mr. Christopher T Alphenaar, LPC, LLP. CAADC Counselor Medicare: Medicare Enrolled Practice Location: 5710 Saint Joseph Ave, Stevensville, MI 49127 Phone: 269-240-4137 Fax: 269-588-3047 | |
Becka O'neil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Robert Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4661 Red Arrow Hwy, Stevensville, MI 49127 Phone: 269-281-7403 | |
Kara Youngblood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Meredith Sheldon, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Mary Gilliam-andres, M.A., L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 Fax: 269-429-5754 | |
Krista Hansen Elkins, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5771 Cleveland Ave, Stevensville, MI 49127 Phone: 269-369-3490 |