Kendra Docker, LPC | |
1953 Ketegawn Rd, Owosso, MI 48867-1529 | |
(720) 220-8106 | |
Not Available |
Full Name | Kendra Docker |
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Gender | Female |
Speciality | Counselor |
Location | 1953 Ketegawn Rd, Owosso, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699316976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401017302 (Michigan) | Primary |
Entity Name | Soul Garden Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073228805 PECOS PAC ID: 0648614164 Enrollment ID: O20240222003133 |
Mailing Address | Practice Location Address |
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Kendra Docker, LPC 1953 Ketegawn Rd, Owosso, MI 48867-1529 Ph: () - | Kendra Docker, LPC 1953 Ketegawn Rd, Owosso, MI 48867-1529 Ph: (720) 220-8106 |
Mr. George Garcia, MALLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-871-6695 | |
Haley Ruth Clemens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 | |
Sidney Mischel Riley, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N Water St Ste 138, Owosso, MI 48867 Phone: 810-230-4224 | |
Sarah R Tomcala, MA, LPC, CADC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Jason Lee Dr, Owosso, MI 48867 Phone: 317-370-7310 | |
Mrs. Cheryl Kay Richards, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 W Exchange St, Suite 300, Owosso, MI 48867 Phone: 989-723-8239 Fax: 989-723-8230 | |
Ms. Misty Lauchie, MA,LLPC Counselor Medicare: Medicare Enrolled Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 | |
Tracy Lynn Birchmeier, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 |