| Clarkston Family Counseling Associates | |
|
2545 N Opdyke Rd Suite 104 Auburn Hills MI 48326-1970 | |
| (248) 373-1133 | |
| (248) 373-1140 |
| Full Name | Clarkston Family Counseling Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2545 N Opdyke Rd, Auburn Hills, Michigan |
| Authorized Official Name and Position | Young H Kim (PRESIDENT) |
| Authorized Official Contact | 2483731133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkston Family Counseling Associates 2545 N Opdyke Rd Suite 104 Auburn Hills MI 48326-1970 Ph: (248) 373-1133 | Clarkston Family Counseling Associates 2545 N Opdyke Rd Suite 104 Auburn Hills MI 48326-1970 Ph: (248) 373-1133 |
| NPI Number | 1033263678 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/24/2013 |
| Medicare PECOS PAC ID | 6002888757 |
|---|---|
| Medicare Enrollment ID | O20131022000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033263678 | NPI | - | NPPES |
| 2606374792 | Other | MI | BLUE CROSS BLUE SHIELD |
| 8008965160 | Other | MI | BLUE CROSS BLUE SHIELD |
| 8008965400 | Other | MI | BLUE CROSS BLUE SHIELD |
| 680F333020 | Other | MI | BLUE CROSS BLUE SHIELD |
| 680F331960 | Other | MI | BLUE CROSS BLUE SHIELD |
| 8008969050 | Other | MI | BLUE CROSS BLUE SHIELD |
| 8008908390 | Other | BLUE CROSS BLUE SHIELD |
| Provider Name | Young H Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083793798 PECOS PAC ID: 6901878651 Enrollment ID: I20080118000696 |
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