Shanda Berdan, | |
337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 | |
(989) 701-5836 | |
(989) 685-8363 |
Full Name | Shanda Berdan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 337 E Houghton Ave, West Branch, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407252133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401013102 (Michigan) | Primary |
Entity Name | Ausable Valley Community Mental Health Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417011701 PECOS PAC ID: 2961485610 Enrollment ID: O20050421000668 |
Mailing Address | Practice Location Address |
---|---|
Shanda Berdan, Po Box 325, 216 Hebestreit St., Rose City, MI 48654-0325 Ph: (989) 701-5836 | Shanda Berdan, 337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 Ph: (989) 701-5836 |
Ms. Maria Elaine Buccilli, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4663 Elm Dr, West Branch, MI 48661 Phone: 269-929-7604 | |
Kristine Goodroe, Counselor Medicare: Medicare Enrolled Practice Location: 335 E Houghton Ave, West Branch, MI 48661 Phone: 989-390-4786 | |
Timothy Bronson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Griffin Rd, West Branch, MI 48661 Phone: 989-345-5571 Fax: 989-345-4111 | |
Tamara Parsons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 E Houghton Ave, Clinic A, West Branch, MI 48661 Phone: 989-329-1244 Fax: 989-345-3715 | |
Ms. Rebecca L Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 South Third Street, West Branch, MI 48661 Phone: 989-701-2212 Fax: 989-419-6094 | |
Crystal Marie Owens, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Griffin Ave, West Branch, MI 48661 Phone: 989-345-5571 |