Tiffany Renee Brigolin, | |
11111 Hall Rd Ste 303, Utica, MI 48317-5726 | |
(586) 997-3153 | |
Not Available |
Full Name | Tiffany Renee Brigolin |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11111 Hall Rd Ste 303, Utica, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447718648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401017175 (Michigan) | Primary |
Entity Name | Wentworth And Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306827191 PECOS PAC ID: 9537140819 Enrollment ID: O20041117000078 |
Mailing Address | Practice Location Address |
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Tiffany Renee Brigolin, 2832 Walmsley Circle Dr, Lake Orion, MI 48360-1640 Ph: (248) 766-7544 | Tiffany Renee Brigolin, 11111 Hall Rd Ste 303, Utica, MI 48317-5726 Ph: (586) 997-3153 |
Amy Henson, MA LLPC NPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd, Ste 303, Utica, MI 48317 Phone: 248-408-2488 | |
Artemis Stanisz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11111 Hall Rd, Utica, MI 48317 Phone: 586-649-7589 | |
Shamicia C Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8255 Hall Rd, Ste D, Utica, MI 48317 Phone: 248-972-8205 | |
Frederick Joseph Hogan Ii, M.A., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 11111 Hall Rd, Suite 303, Utica, MI 48317 Phone: 586-997-3153 Fax: 586-997-4956 | |
Michael Washburn, M.M., M.A., CSAT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd, Suite 300, Utica, MI 48317 Phone: 586-997-3153 | |
Aaron Daniel Bahlman-clippard, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd Ste 300, Utica, MI 48317 Phone: 586-887-3153 | |
John Joseph Naperkoski, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45052 Deshon St, Utica, MI 48317 Phone: 586-254-3663 |