Alcohol Information And Counseling Center | |
1800 Imlay City Rd Lapeer MI 48446 | |
(810) 667-0243 | |
(810) 245-5676 |
Full Name | Alcohol Information And Counseling Center |
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Speciality | Counselor |
Location | 1800 Imlay City Rd, Lapeer, Michigan |
Authorized Official Name and Position | Ingrid Fink (ASSISTANCE FINANCE OFFICER) |
Authorized Official Contact | 8102455787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alcohol Information And Counseling Center 1800 Imlay City Rd Lapeer MI 48446 Ph: (810) 667-0243 | Alcohol Information And Counseling Center 1800 Imlay City Rd Lapeer MI 48446 Ph: (810) 667-0243 |
NPI Number | 1487741286 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 07/03/2024 |
Certification Date | 07/03/2024 |
Medicare PECOS PAC ID | 4183533193 |
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Medicare Enrollment ID | O20071109000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487741286 | NPI | - | NPPES |
Provider Name | Cecil D Christo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285736652 PECOS PAC ID: 3072601053 Enrollment ID: I20071109000144 |
Provider Name | Ryan W Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629185681 PECOS PAC ID: 0042468761 Enrollment ID: I20120920000700 |
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