| Cherith Counseling Center Pc | |
|
215 East Hughitt Street Iron Mountain MI 49801 | |
| (906) 779-0478 | |
| (906) 779-0479 |
| Full Name | Cherith Counseling Center Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 215 East Hughitt Street, Iron Mountain, Michigan |
| Authorized Official Name and Position | Sandra J Festian (PRESIDENT) |
| Authorized Official Contact | 9067790478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherith Counseling Center Pc 215 E Hughitt St P O Box 1045 Iron Mountain MI 49801-2957 Ph: (906) 779-0478 | Cherith Counseling Center Pc 215 East Hughitt Street Iron Mountain MI 49801 Ph: (906) 779-0478 |
| NPI Number | 1356518153 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 2163674730 |
|---|---|
| Medicare Enrollment ID | O20121205000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356518153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sandra J Festian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700921871 PECOS PAC ID: 8426200098 Enrollment ID: I20121205000164 |
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