Kathleen Mousseau, LPC | |
22455 Lakeland St, Saint Clair Shores, MI 48081-2323 | |
(586) 216-2550 | |
Not Available |
Full Name | Kathleen Mousseau |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 22455 Lakeland St, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003173782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401013438 (Michigan) | Primary |
Entity Name | Ascension Eastwood Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Mousseau, LPC 22455 Lakeland St, Saint Clair Shores, MI 48081-2323 Ph: (586) 216-2550 | Kathleen Mousseau, LPC 22455 Lakeland St, Saint Clair Shores, MI 48081-2323 Ph: (586) 216-2550 |
Felicia Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080 Phone: 517-882-3732 Fax: 517-882-3633 | |
Marsha Jo Milan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22708 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-445-2210 | |
Dr. Sameerah Davenport, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22020 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 313-559-2013 | |
Ms. Kathleen Marie Vanneste-kortebein, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27735 Jefferson Ave, Saint Clair Shores, MI 48081 Phone: 586-777-8929 | |
Dana Elizabeth Ries, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25401 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-466-6912 | |
Kayla Pacic, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23100 Jefferson Ave, Saint Clair Shores, MI 48080 Phone: 586-335-2006 |