Mr Jason Dale Berry, | |
3250 N Monroe St, Monroe, MI 48162-9297 | |
(734) 384-3402 | |
Not Available |
Full Name | Mr Jason Dale Berry |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 3250 N Monroe St, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538564240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401014662 (Michigan) | Primary |
Entity Name | Pure Psychiatry Of Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason Dale Berry, 3250 N Monroe St, Monroe, MI 48162-9297 Ph: (734) 384-3402 | Mr Jason Dale Berry, 3250 N Monroe St, Monroe, MI 48162-9297 Ph: (734) 384-3402 |
Ms. Lynette Lange, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14930 Laplaisance Rd, Suite 106, Monroe, MI 48161 Phone: 734-241-0180 | |
Kathleen Irene Pizzo, M.A., LLPC, SCL Counselor Medicare: Not Enrolled in Medicare Practice Location: 14930 Laplaisance Rd, Monroe, MI 48161 Phone: 734-241-0180 | |
Laurie Anne Kosek, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14930 Laplaisance Rd, Monroe, MI 48161 Phone: 734-241-0180 Fax: 734-241-8259 | |
Mr. Rich A Weaks, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Wolverine Ave, Monroe, MI 48161 Phone: 734-735-1942 | |
Sweta Alberta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 S Monroe St, Monroe, MI 48161 Phone: 734-240-3850 | |
Mrs. Wendala K. Klinski, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1070 S Telegraph Rd, Monroe, MI 48161 Phone: 734-240-3850 Fax: 734-240-3863 | |
Carolyn Manning-lowe, MSW, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14733 S Telegraph Rd, Monroe, MI 48161 Phone: 734-243-8707 |