Mrs Fawn Cichoski, MSW | |
433 S Round Lake Dr, Caledonia, MI 49316-9632 | |
(616) 516-7537 | |
Not Available |
Full Name | Mrs Fawn Cichoski |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 433 S Round Lake Dr, Caledonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912305459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Counseling Center Of West Michigan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
Mailing Address | Practice Location Address |
---|---|
Mrs Fawn Cichoski, MSW 433 S Round Lake Dr, Caledonia, MI 49316-9632 Ph: () - | Mrs Fawn Cichoski, MSW 433 S Round Lake Dr, Caledonia, MI 49316-9632 Ph: (616) 516-7537 |
Mark Recker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6505 Cherry Meadow Dr Se, Caledonia, MI 49316 Phone: 616-891-8770 Fax: 616-891-3504 | |
Nancy Iveson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7419 N Noffke Dr, Caledonia, MI 49316 Phone: 616-891-7652 | |
Holly Devivo, MA, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5092 N Morgan Ln Se, Caledonia, MI 49316 Phone: 616-516-5360 | |
Dante Jones, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6505 Cherry Meadow Dr Se, Caledonia, MI 49316 Phone: 616-891-8770 | |
Wesley Keith Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se, Suite C, Caledonia, MI 49316 Phone: 616-219-0159 | |
Ashley Nederveld, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4474 2nd St, Caledonia, MI 49316 Phone: 616-291-3434 | |
Jennifer Ann Bathrick, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6505 Cherry Meadow Dr Se, Caledonia, MI 49316 Phone: 616-891-8770 |