Mrs Stacy Marie Young, | |
32652 Kno Drive, Dowagiac, MI 49047 | |
(269) 982-3832 | |
Not Available |
Full Name | Mrs Stacy Marie Young |
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Gender | Female |
Speciality | Counselor |
Location | 32652 Kno Drive, Dowagiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295264448 | NPI | - | NPPES |
Entity Name | Pokagon Band Of Potawatomi Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497833271 PECOS PAC ID: 3476455445 Enrollment ID: O20040121001135 |
Mailing Address | Practice Location Address |
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Mrs Stacy Marie Young, 67160 Dailey Rd, Edwardsburg, MI 49112-9660 Ph: (269) 845-0069 | Mrs Stacy Marie Young, 32652 Kno Drive, Dowagiac, MI 49047 Ph: (269) 982-3832 |
Alexander Rowland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58620 Sink Rd, Dowagiac, MI 49047 Phone: 269-782-4885 | |
Ms. Jennifer Ervin, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 | |
Eric J Chamberlin, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-783-2476 Fax: 269-782-0248 | |
Stephanie Vaness Ballew, CAAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-782-8797 | |
Jessica Longenecker, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 | |
Dr. Shaun Michael West, DBH, LPC, CAADC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 58620 Sink Road, Dowagiac, MI 49047 Phone: 269-782-4141 |