Mr Jackson Daly, | |
550 S Saginaw St, Lapeer, MI 48446-2645 | |
(810) 277-9618 | |
Not Available |
Full Name | Mr Jackson Daly |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 550 S Saginaw St, Lapeer, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326537663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Alternative Community Living Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114131729 PECOS PAC ID: 6608864350 Enrollment ID: O20040503001021 |
Entity Name | Authentic Self Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700462702 PECOS PAC ID: 6507273091 Enrollment ID: O20210330000759 |
Mailing Address | Practice Location Address |
---|---|
Mr Jackson Daly, 215 W South St Apt D25, Davison, MI 48423-1584 Ph: (732) 608-4674 | Mr Jackson Daly, 550 S Saginaw St, Lapeer, MI 48446-2645 Ph: (810) 277-9618 |
James Edward Murray, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 N Court St, Suite 205, Lapeer, MI 48446 Phone: 810-667-4500 Fax: 810-667-4512 | |
Mrs. Elizabeth Boyd, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Ms. Alice Stoelzl-fiebelkorn, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Ms. Elizabeth Marie Kress, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Natasha Davidson, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5699 Genesee Rd, Lapeer, Mi, Lapeer, MI 48446 Phone: 810-969-4561 | |
Luan Kay Jackson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 S Main St, Lapeer, MI 48446 Phone: 810-664-4641 | |
Ms. Mary Williamson, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 |