Jack Pine Wellness, Pllc | |
138 Hartshorn St Bad Axe MI 48413-1358 | |
(989) 523-0002 | |
Not Available |
Full Name | Jack Pine Wellness, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 138 Hartshorn St, Bad Axe, Michigan |
Authorized Official Name and Position | Crysta Ransom-soper (OWNER) |
Authorized Official Contact | 9895230002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jack Pine Wellness, Pllc 138 Hartshorn St Bad Axe MI 48413-1358 Ph: (989) 523-0002 | Jack Pine Wellness, Pllc 138 Hartshorn St Bad Axe MI 48413-1358 Ph: (989) 523-0002 |
NPI Number | 1356106348 |
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Provider Enumeration Date | 02/19/2024 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356106348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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