Mrs Victoria Jean-maxin Lofgren, | |
24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 | |
(586) 777-0942 | |
Not Available |
Full Name | Mrs Victoria Jean-maxin Lofgren |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 24715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962907949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 6451017782 (Michigan) | Primary |
Entity Name | Downriver Mental Health Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
Mailing Address | Practice Location Address |
---|---|
Mrs Victoria Jean-maxin Lofgren, 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (586) 777-0942 | Mrs Victoria Jean-maxin Lofgren, 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (586) 777-0942 |
Kathleen Mousseau, LPC Counselor Medicare: Medicare Enrolled Practice Location: 22455 Lakeland St, Saint Clair Shores, MI 48081 Phone: 586-216-2550 | |
Felicia Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080 Phone: 517-882-3732 Fax: 517-882-3633 | |
Marsha Jo Milan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22708 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-445-2210 | |
Dr. Sameerah Davenport, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22020 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 313-559-2013 | |
Ms. Kathleen Marie Vanneste-kortebein, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27735 Jefferson Ave, Saint Clair Shores, MI 48081 Phone: 586-777-8929 | |
Dana Elizabeth Ries, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25401 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-466-6912 | |
Kayla Pacic, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23100 Jefferson Ave, Saint Clair Shores, MI 48080 Phone: 586-335-2006 |