| Kenneth William Lacosse, | |
|
104 Malton Rd, Negaunee, MI 49866 | |
| (906) 228-4692 | |
| (888) 977-2109 |
| Full Name | Kenneth William Lacosse |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 104 Malton Rd, Negaunee, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154816676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth William Lacosse, 97 S 4th St Ste C, Ishpeming, MI 49849-2168 Ph: (888) 977-2109 | Kenneth William Lacosse, 104 Malton Rd, Negaunee, MI 49866 Ph: (906) 228-4692 |
Nathan Zaremba, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 906-228-2830 | |
Gabriel Brock Rayner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 906-228-4692 | |
Kim Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 906-228-2830 | |
Rebecca Lynn Mabbitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 906-228-2830 | |
Lauren Winn, BSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 | |
Lydia Eileen Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 888-977-2109 | |
Garrett Kesner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Malton Rd, Negaunee, MI 49866 Phone: 906-228-4692 Fax: 906-228-2830 |