Matthew Olson, LPC | |
710 N Mead St, Saint Johns, MI 48879-1332 | |
(989) 224-4110 | |
(989) 224-8797 |
Full Name | Matthew Olson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 710 N Mead St, Saint Johns, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023109600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401004411 (Michigan) | Primary |
Entity Name | Pebble Creek Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609095702 PECOS PAC ID: 8325100829 Enrollment ID: O20081217000392 |
Mailing Address | Practice Location Address |
---|---|
Matthew Olson, LPC 710 N Mead St, Saint Johns, MI 48879-1332 Ph: (989) 224-4110 | Matthew Olson, LPC 710 N Mead St, Saint Johns, MI 48879-1332 Ph: (989) 224-4110 |
Ms. Lois Eilleen Husby, LPC, MSWCM, CAC-R Counselor Medicare: Accepting Medicare Assignments Practice Location: 705 S Mead St, Saint Johns, MI 48879 Phone: 989-224-0842 Fax: 517-364-2310 | |
Robin Padilla, Counselor Medicare: Medicare Enrolled Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572 | |
Amanda Patterson, L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-224-3000 | |
Rebecca Sue Noffke, LLMSW Counselor Medicare: Medicare Enrolled Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-668-0700 | |
Michelle Mcdonald, LLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-668-0700 | |
Isabel Teresa Severy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-593-0211 |