Kathleen Cain Gedraitis, LPC | |
65 S Main St Lowr Level, Rockford, MI 49341-1286 | |
(616) 884-0895 | |
Not Available |
Full Name | Kathleen Cain Gedraitis |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 65 S Main St Lowr Level, Rockford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265036107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401018450 (Michigan) | Primary |
Entity Name | Counseling Center Of West Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Cain Gedraitis, LPC 502 Northland Dr Ne Ste 100, Rockford, MI 49341-7246 Ph: (616) 884-0895 | Kathleen Cain Gedraitis, LPC 65 S Main St Lowr Level, Rockford, MI 49341-1286 Ph: (616) 884-0895 |
Mr. Jordan Bont, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Bridge St, Suite E1, Rockford, MI 49341 Phone: 231-519-1693 | |
Ms. Jennifer Amy Stone, MA, LLPCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4433 Hillrise Ct Ne, Rockford, MI 49341 Phone: 616-690-6139 | |
Miss Ashley Hartfik, MA, LPC, CAADC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Northland Dr Ne Ste A, Rockford, MI 49341 Phone: 616-805-3660 | |
Kristian Loneen Bergsma, M.A., BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 E Division St, Rockford, MI 49341 Phone: 616-512-2831 | |
Mrs. Hannah R Livermore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6122 Ramsdell Dr Ne, Rockford, MI 49341 Phone: 616-229-0659 | |
Sara Jensen, MA, LPC, LLMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 S Main St, Rockford, MI 49341 Phone: 616-805-3660 |