| Tahoma Counseling | |
|
1346 Baldwin St # 13 Jenison MI 49428-8937 | |
| (616) 765-8585 | |
| Not Available |
| Full Name | Tahoma Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1346 Baldwin St # 13, Jenison, Michigan |
| Authorized Official Name and Position | Salena Corner (OWNER) |
| Authorized Official Contact | 6167658585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoma Counseling 1648 Southlawn St Jenison MI 49428-8971 Ph: (616) 633-7414 | Tahoma Counseling 1346 Baldwin St # 13 Jenison MI 49428-8937 Ph: (616) 765-8585 |
| NPI Number | 1366009961 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 6204223472 |
|---|---|
| Medicare Enrollment ID | O20220419000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366009961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Salena Corner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841759867 PECOS PAC ID: 8325470552 Enrollment ID: I20191108002478 |
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