| Giesken Counseling Services Llc | |
|
4545 Clawson Tank Dr Ste D Clarkston MI 48346-2583 | |
| (810) 626-5191 | |
| Not Available |
| Full Name | Giesken Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4545 Clawson Tank Dr Ste D, Clarkston, Michigan |
| Authorized Official Name and Position | Jerilynn Jacobson (SOCIAL WORKER) |
| Authorized Official Contact | 9893970617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Giesken Counseling Services Llc 4545 Clawson Tank Dr Ste D Clarkston MI 48346-2583 Ph: (810) 626-5191 | Giesken Counseling Services Llc 4545 Clawson Tank Dr Ste D Clarkston MI 48346-2583 Ph: (810) 626-5191 |
| NPI Number | 1336668565 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 11/04/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 5799035390 |
|---|---|
| Medicare Enrollment ID | O20180831000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336668565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6801091509 (Michigan) | Primary |
| Provider Name | Jerilynn Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275950032 PECOS PAC ID: 5698080026 Enrollment ID: I20150813012465 |
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