| Faith O Zantjer Llc | |
|
5900 Portage Rd Portage MI 49002-1774 | |
| (269) 762-9918 | |
| Not Available |
| Full Name | Faith O Zantjer Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5900 Portage Rd, Portage, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith O Zantjer Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Faith O Zantjer Llc 5900 Portage Rd Portage MI 49002-1774 Ph: (269) 762-9918 |
| NPI Number | 1821550740 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821550740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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