| Family & Life Counseling | |
|
409 Cherokee Dr Fremont MI 49412-1719 | |
| (231) 924-3610 | |
| Not Available |
| Full Name | Family & Life Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 409 Cherokee Dr, Fremont, Michigan |
| Authorized Official Name and Position | David Gerald Raquet (SOLE MEMBER) |
| Authorized Official Contact | 2312457945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Life Counseling 409 Cherokee Dr Fremont MI 49412-1719 Ph: () - | Family & Life Counseling 409 Cherokee Dr Fremont MI 49412-1719 Ph: (231) 924-3610 |
| NPI Number | 1922256213 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 2365894193 |
|---|---|
| Medicare Enrollment ID | O20240117003703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922256213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4101006243 (Michigan) | Primary |
| Provider Name | David Gerald Raquet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205952009 PECOS PAC ID: 8426400268 Enrollment ID: I20240117003905 |
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