| Advanced Behavioral Counseling P.c. | |
|
117 Cass Ave Suite 302 Mount Clemens MI 48043-2252 | |
| (586) 466-6130 | |
| Not Available |
| Full Name | Advanced Behavioral Counseling P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 117 Cass Ave, Mount Clemens, Michigan |
| Authorized Official Name and Position | Colleen Flood-espinoza (PROVIDER) |
| Authorized Official Contact | 5864666130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Counseling P.c. 38355 Union Lake Rd Clinton Township MI 48036-2889 Ph: () - | Advanced Behavioral Counseling P.c. 117 Cass Ave Suite 302 Mount Clemens MI 48043-2252 Ph: (586) 466-6130 |
| NPI Number | 1275785727 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 0648320416 |
|---|---|
| Medicare Enrollment ID | O20090617000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275785727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801074529 (Michigan) | Primary |
| Provider Name | Colleen Flood Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053462408 PECOS PAC ID: 7911057781 Enrollment ID: I20090617000110 |
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