Miss Shelley M Brandow, LPC | |
1029 N 3rd St, Suite B, Marquette, MI 49855-3509 | |
(906) 226-7410 | |
Not Available |
Full Name | Miss Shelley M Brandow |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1029 N 3rd St, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609187855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401006918 (Michigan) | Primary |
104100000X | Social Worker | 6802080124 (Michigan) | Secondary |
Entity Name | Suunta Integrative Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720646508 PECOS PAC ID: 8022340900 Enrollment ID: O20191025000914 |
Mailing Address | Practice Location Address |
---|---|
Miss Shelley M Brandow, LPC 1029 N 3rd St, Suite B, Marquette, MI 49855-3509 Ph: (906) 226-7410 | Miss Shelley M Brandow, LPC 1029 N 3rd St, Suite B, Marquette, MI 49855-3509 Ph: (906) 226-7410 |
Austyn Elizabeth Buckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Wright St, Marquette, MI 49855 Phone: 906-228-7611 | |
Lisa Clune Lennon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Wright St, Marquette, MI 49855 Phone: 906-228-7611 Fax: 906-228-8156 | |
Robert A Mellin, M ED LPC CSW CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3985 Fax: 906-225-4562 | |
Matthew Allen Lambert, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W Spring St, Marquette, MI 49855 Phone: 906-226-0023 Fax: 906-449-0050 | |
Beryl Cailyn Miess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Wright St, Marquette, MI 49855 Phone: 906-228-7611 Fax: 888-977-2109 | |
Mr. Jason M. Ray, CPRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Lakewood Ln, Marquette, MI 49855 Phone: 906-458-3225 | |
Ethan Kevin Willett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Wright St, Marquette, MI 49855 Phone: 906-228-7611 Fax: 906-228-8156 |