Cc Counseling Llc | |
309 W Walnut St Kalamazoo MI 49007-5176 | |
(269) 319-3111 | |
Not Available |
Full Name | Cc Counseling Llc |
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Speciality | Counselor |
Location | 309 W Walnut St, Kalamazoo, Michigan |
Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cc Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Cc Counseling Llc 309 W Walnut St Kalamazoo MI 49007-5176 Ph: (269) 319-3111 |
NPI Number | 1730845397 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Certification Date | 11/09/2021 |
Medicare PECOS PAC ID | 8628428513 |
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Medicare Enrollment ID | O20231218003864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730845397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Catharine Cook |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811395445 PECOS PAC ID: 9537519426 Enrollment ID: I20231218003913 |
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