Eastern Michigan Counseling Associates | |
1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 | |
(810) 364-5800 | |
(810) 364-1200 |
Full Name | Eastern Michigan Counseling Associates |
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Speciality | Psychologist |
Location | 1600 Gratiot Blvd, Marysville, Michigan |
Authorized Official Name and Position | Dianna Lynn Pratt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8103645800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Michigan Counseling Associates 1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 | Eastern Michigan Counseling Associates 1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 |
NPI Number | 1639234115 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2062511934 |
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Medicare Enrollment ID | O20070619000413 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639234115 | NPI | - | NPPES |
Provider Name | Dianna L Pratt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639209422 PECOS PAC ID: 9032125380 Enrollment ID: I20060224000062 |
Provider Name | Michelle M Rousseau |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366555286 PECOS PAC ID: 6507968716 Enrollment ID: I20070219000394 |
Provider Name | Courtney L Mcclellan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508268251 PECOS PAC ID: 6406077064 Enrollment ID: I20141023001043 |
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