| Cherie L Coopersmith | |
|
120 N Michigan Ave Ste 212 Saginaw MI 48602-4236 | |
| (989) 239-5696 | |
| Not Available |
| Full Name | Cherie L Coopersmith |
|---|---|
| Speciality | Counselor |
| Location | 120 N Michigan Ave Ste 212, Saginaw, Michigan |
| Authorized Official Name and Position | Cherie Lynn Coopersmith (OWNER) |
| Authorized Official Contact | 9892395696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherie L Coopersmith 11255 Moorfield Dr Freeland MI 48623-7201 Ph: (989) 239-5696 | Cherie L Coopersmith 120 N Michigan Ave Ste 212 Saginaw MI 48602-4236 Ph: (989) 239-5696 |
| NPI Number | 1073390324 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 01/13/2024 |
| Certification Date | 01/13/2024 |
| Medicare PECOS PAC ID | 8820431141 |
|---|---|
| Medicare Enrollment ID | O20240202003441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073390324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cherie Lynn Coopersmith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508404807 PECOS PAC ID: 2860845138 Enrollment ID: I20240202001150 |
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