Mrs Jennifer Renee Walters, CADCLL is a
Behavior Technician based in Prudenville, Michigan. Mrs Jennifer Renee Walters is licensed to practice in * (Not Available) (license number ) and her current practice location is
1070 W Houghton Lake Dr, Prudenville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 202-4900.
NPI number for Mrs Jennifer Renee Walters is 1427512391 and her current mailing address is 355 Gettysburg Rd Unit 106, Canton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427512391.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Renee Walters |
---|
Gender | Female |
---|
Speciality | Behavior Technician |
---|
Location | 1070 W Houghton Lake Dr, Prudenville, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427512391
- Provider Enumeration Date: 01/24/2019
- Last Update Date: 02/28/2024
Medical Identifiers
Medical identifiers for Mrs Jennifer Renee Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427512391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1272 (Georgia) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Renee Walters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Renee Walters, CADCLL 355 Gettysburg Rd Unit 106, Canton, MI 48187-6714 Ph: (404) 913-1965 | Mrs Jennifer Renee Walters, CADCLL 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 Ph: (989) 202-4900 |
Reviews and Comments