Cognitive Ignition, L.l.c. | |
13231 Frost Rd Hemlock MI 48626-9441 | |
(989) 971-2955 | |
Not Available |
Full Name | Cognitive Ignition, L.l.c. |
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Speciality | Counselor |
Location | 13231 Frost Rd, Hemlock, Michigan |
Authorized Official Name and Position | Nicholas Jared Mckenzie (OWNER/THERAPIST) |
Authorized Official Contact | 9899712955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Ignition, L.l.c. 13231 Frost Rd Hemlock MI 48626-9441 Ph: (989) 971-2955 | Cognitive Ignition, L.l.c. 13231 Frost Rd Hemlock MI 48626-9441 Ph: (989) 971-2955 |
NPI Number | 1558858233 |
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Provider Enumeration Date | 04/18/2018 |
Last Update Date | 05/29/2021 |
Certification Date | 05/29/2021 |
Identifier | Type | State | Issuer |
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1558858233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 6401015577 (Michigan) | Primary |
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