Mr Daniel Thomas Broughton Jr, LPC | |
5562 Continental Rd, Grand Blanc, MI 48439-9106 | |
(810) 869-1015 | |
Not Available |
Full Name | Mr Daniel Thomas Broughton Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5562 Continental Rd, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205188877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401012597 (Michigan) | Primary |
Entity Name | Daniel T Broughton Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144041567 PECOS PAC ID: 7810421823 Enrollment ID: O20241113004265 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Thomas Broughton Jr, LPC 5562 Continental Rd, Grand Blanc, MI 48439-9106 Ph: (810) 869-1015 | Mr Daniel Thomas Broughton Jr, LPC 5562 Continental Rd, Grand Blanc, MI 48439-9106 Ph: (810) 869-1015 |
Robyn Heiler, Counselor Medicare: Medicare Enrolled Practice Location: 8341 Office Park Dr Ste E, Grand Blanc, MI 48439 Phone: 989-413-6110 | |
Paxton Rowley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8285 S Saginaw St Ste 102, Grand Blanc, MI 48439 Phone: 810-626-5191 | |
Mrs. Erica Mae Miller, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8245 Holly Rd Ste 200, Grand Blanc, MI 48439 Phone: 586-212-0349 | |
Kim Ngoc T Nguyen-forbes, LBSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3104 Kettering Hts, Grand Blanc, MI 48507 Phone: 316-300-0407 | |
Shannon S. Wysinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5360 Moceri Ln, Grand Blanc, MI 48439 Phone: 810-240-1849 | |
Stephanie Kushel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8341 Office Park Dr, Grand Blanc, MI 48439 Phone: 800-693-1916 |