Miss Jill Patrice Chestang, LPC | |
1803 Whites Rd Ste 4, Kalamazoo, MI 49008-2883 | |
(866) 232-5389 | |
Not Available |
Full Name | Miss Jill Patrice Chestang |
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Gender | Female |
Speciality | Counselor |
Location | 1803 Whites Rd Ste 4, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154757060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401018076 (Michigan) | Primary |
Entity Name | Chosen Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194120097 PECOS PAC ID: 5890006571 Enrollment ID: O20150622002253 |
Mailing Address | Practice Location Address |
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Miss Jill Patrice Chestang, LPC 740 Lynn Ave, Kalamazoo, MI 49008-4910 Ph: () - | Miss Jill Patrice Chestang, LPC 1803 Whites Rd Ste 4, Kalamazoo, MI 49008-2883 Ph: (866) 232-5389 |
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