| Mr Timothy Charles Rosenboom, M DIV | |
|
960 E State St, Cassopolis, MI 49031-9339 | |
| (269) 476-9781 | |
| (269) 476-9783 |
| Full Name | Mr Timothy Charles Rosenboom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 960 E State St, Cassopolis, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861560195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 140001 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Charles Rosenboom, M DIV 8848 Kephart Ln, Berrien Springs, MI 49103-1440 Ph: (269) 471-1955 | Mr Timothy Charles Rosenboom, M DIV 960 E State St, Cassopolis, MI 49031-9339 Ph: (269) 476-9781 |
Ronald Poole, L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 E M 60, Cassopolis, MI 49031 Phone: 269-445-2451 Fax: 269-445-3216 | |
Christian D Lutes, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 E State St, Cassopolis, MI 49031 Phone: 269-445-2451 Fax: 269-445-3216 | |
Mrs. Heather Fergus Abbott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 M-60 East, Cassopolis, MI 49031 Phone: 269-445-2451 | |
Sheila Meese, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 M 60 E, Cassopolis, MI 49031 Phone: 269-445-2451 | |
Madeline Berger, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1124 Austin Street, Cassopolis, MI 49031 Phone: 269-445-2451 | |
Miss Kristina Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1124 Austin, Cassopolis, MI 49031 Phone: 269-445-3833 | |
Tom M Pabreza, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 E State St, Cassopolis, MI 49031 Phone: 269-445-2451 Fax: 269-445-3216 |