Sandra Kay Larson, LPC | |
8333 Felch St, Zeeland, MI 49464-2608 | |
(616) 741-3790 | |
Not Available |
Full Name | Sandra Kay Larson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8333 Felch St, Zeeland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760033658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401223151 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401017655 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
Mailing Address | Practice Location Address |
---|---|
Sandra Kay Larson, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Sandra Kay Larson, LPC 8333 Felch St, Zeeland, MI 49464-2608 Ph: (616) 741-3790 |
Dr. Melinie Lynn Cappello, D.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 S Maple St, Zeeland, MI 49464 Phone: 616-402-0321 | |
Robert Alan Herman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 S State St Ste 10, Zeeland, MI 49464 Phone: 616-879-0072 | |
Stephanie Witteveen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 S State St, Ste 13, Zeeland, MI 49464 Phone: 616-772-1733 | |
Andrew Hempel, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 S State St Ste 13, (616) 772-1733, Zeeland, MI 49464 Phone: 616-772-1733 | |
Dr. Kurt Stevens, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 S State St, Zeeland, MI 49464 Phone: 616-772-1733 | |
Gwendolyn S Vandoeselaar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Royal Park Dr, Zeeland, MI 49464 Phone: 616-970-4172 | |
Kristy Lee Weersing, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 167-413-7906 |