| Hancook Counseling, Pllc | |
|
14165 N Fenton Rd Suite 102a-1 Fenton MI 48430-4031 | |
| (810) 845-6802 | |
| Not Available |
| Full Name | Hancook Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 14165 N Fenton Rd, Fenton, Michigan |
| Authorized Official Name and Position | Tammy Lee Hancook (OWNER) |
| Authorized Official Contact | 8108456802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hancook Counseling, Pllc 14165 N Fenton Rd Suite 102a-1 Fenton MI 48430-4031 Ph: (810) 845-6802 | Hancook Counseling, Pllc 14165 N Fenton Rd Suite 102a-1 Fenton MI 48430-4031 Ph: (810) 845-6802 |
| NPI Number | 1639623994 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 01/30/2017 |
| Medicare PECOS PAC ID | 6507133824 |
|---|---|
| Medicare Enrollment ID | O20170517000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639623994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
| Provider Name | Tammy L Hancook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851768295 PECOS PAC ID: 2264709294 Enrollment ID: I20170517000420 |
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