Connally Counseling | |
3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 | |
(734) 277-7565 | |
(734) 215-2363 |
Full Name | Connally Counseling |
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Speciality | Social Worker |
Location | 3300 Washtenaw Ave Ste 260, Ann Arbor, Michigan |
Authorized Official Name and Position | Dalton Killian Connally (OWNER) |
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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Connally Counseling 3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 Ph: (734) 277-7565 | Connally Counseling 3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 Ph: (734) 277-7565 |
NPI Number | 1598193310 |
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Provider Enumeration Date | 10/15/2013 |
Last Update Date | 08/05/2021 |
Certification Date | 08/05/2021 |
Medicare PECOS PAC ID | 1557596020 |
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Medicare Enrollment ID | O20131109000145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598193310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801095252 (Michigan) | Primary |
Provider Name | Dalton K Connally |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669815288 PECOS PAC ID: 9638304108 Enrollment ID: I20131109000186 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
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Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |