Mrs Maureen Ann Dorough, MA, LPC | |
92 N Bridge St, Saranac, MI 48881-5102 | |
(616) 642-6466 | |
(616) 642-6621 |
Full Name | Mrs Maureen Ann Dorough |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 92 N Bridge St, Saranac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598204737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | L746901 (Michigan) | Secondary |
101Y00000X | Counselor | 6401005036 (Michigan) | Primary |
Entity Name | The Four Health Family Resource Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073989141 PECOS PAC ID: 7618227604 Enrollment ID: O20180913000109 |
Mailing Address | Practice Location Address |
---|---|
Mrs Maureen Ann Dorough, MA, LPC 415 Bridge St Nw Apt 308, Grand Rapids, MI 49504-4390 Ph: (616) 460-3564 | Mrs Maureen Ann Dorough, MA, LPC 92 N Bridge St, Saranac, MI 48881-5102 Ph: (616) 642-6466 |
Jenifer Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 N Bridge St, Saranac, MI 48881 Phone: 616-642-6466 | |
Nancy Starin, Counselor Medicare: Medicare Enrolled Practice Location: 92 N Bridge St, Saranac, MI 48881 Phone: 616-642-6466 | |
Melissa A Athmann, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 Bridge Street, Saranac, MI 48881 Phone: 616-642-6466 | |
Lauren Elizabeth Wallis, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 N Bridge St, Saranac, MI 48881 Phone: 616-642-6466 | |
Christine Leadbetter, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 N Bridge St, Saranac, MI 48881 Phone: 616-642-6466 | |
Sarah Jean Rhein, LBSW, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 N Bridge St, Saranac, MI 48881 Phone: 616-642-6466 Fax: 616-642-6621 |