| Genesee County Community Mental Health | |
|
420 W 5th Ave Flint MI 48503-2445 | |
| (810) 257-3714 | |
| Not Available |
| Full Name | Genesee County Community Mental Health |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 420 W 5th Ave, Flint, Michigan |
| Authorized Official Name and Position | Takiyah Shani' Jackson (CONSULTATIVE SERVICES) |
| Authorized Official Contact | 8102573714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesee County Community Mental Health 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3714 | Genesee County Community Mental Health 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3714 |
| NPI Number | 1659674059 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659674059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301014667 (Michigan) | Primary |
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