Katherine Fox Gasper, | |
920 Diana St, Ludington, MI 49431-1987 | |
(231) 845-6294 | |
(231) 845-7095 |
Full Name | Katherine Fox Gasper |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 920 Diana St, Ludington, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053731372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401013726 (Michigan) | Primary |
Entity Name | West Michigan Community Mental Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275646309 PECOS PAC ID: 8426046855 Enrollment ID: O20040504001506 |
Mailing Address | Practice Location Address |
---|---|
Katherine Fox Gasper, 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 | Katherine Fox Gasper, 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 |
Rosanna Van Wyck, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Christopher Roberts, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Ms. Dewan Brandll Mcpherson, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W. Loomis Street, Ludington, MI 49431 Phone: 231-233-1655 | |
Cari Carpenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 | |
Ana Lindsey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Christina Forrester, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 |