| June A Walatkiewicz Lmsw Acsw Lmft Pllc | |
|
37875 W 12 Mile Rd Suite 203 Farmington Hills MI 48331-3043 | |
| (248) 225-6896 | |
| Not Available |
| Full Name | June A Walatkiewicz Lmsw Acsw Lmft Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 37875 W 12 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | June Ann Walatkiewicz (CLINCIAL SOCIAL WORKER) |
| Authorized Official Contact | 2482256896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| June A Walatkiewicz Lmsw Acsw Lmft Pllc 37875 W 12 Mile Rd Suite 203 Farmington Hills MI 48331-3043 Ph: (248) 225-6896 | June A Walatkiewicz Lmsw Acsw Lmft Pllc 37875 W 12 Mile Rd Suite 203 Farmington Hills MI 48331-3043 Ph: (248) 225-6896 |
| NPI Number | 1255516878 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 4284641002 |
|---|---|
| Medicare Enrollment ID | O20060320000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255516878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | June A Walatkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033203773 PECOS PAC ID: 8426065251 Enrollment ID: I20060321000434 |
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