| Burton Professional Counseling Pllc | |
|
1481 S Center Rd Ste B Burton MI 48509-1779 | |
| (810) 820-8706 | |
| Not Available |
| Full Name | Burton Professional Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1481 S Center Rd Ste B, Burton, Michigan |
| Authorized Official Name and Position | Hossam Shukairy (CREDENTIALAILING) |
| Authorized Official Contact | 8106917738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Professional Counseling Pllc 1481 S Center Rd Ste B Burton MI 48509-1779 Ph: (810) 820-8706 | Burton Professional Counseling Pllc 1481 S Center Rd Ste B Burton MI 48509-1779 Ph: (810) 820-8706 |
| NPI Number | 1831782663 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/12/2021 |
| Medicare PECOS PAC ID | 9931577152 |
|---|---|
| Medicare Enrollment ID | O20231213000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831782663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Ranim Baroudi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902419955 PECOS PAC ID: 0840660593 Enrollment ID: I20231213000391 |
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