Doglady Therapy Llc | |
13393 Cypress Ave Sand Lake MI 49343-9010 | |
(616) 263-0259 | |
Not Available |
Full Name | Doglady Therapy Llc |
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Speciality | Counselor |
Location | 13393 Cypress Ave, Sand Lake, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doglady Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Doglady Therapy Llc 13393 Cypress Ave Sand Lake MI 49343-9010 Ph: (616) 263-0259 |
NPI Number | 1629531611 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 11/16/2022 |
Certification Date | 11/16/2022 |
Identifier | Type | State | Issuer |
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1629531611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |