| Kalamazoo Counseling Connection | |
|
225 W Walnut St Kalamazoo MI 49007-5163 | |
| (269) 370-2899 | |
| (510) 201-7713 |
| Full Name | Kalamazoo Counseling Connection |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 225 W Walnut St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Dennis Alber Leclear (MANAGING PARTNER) |
| Authorized Official Contact | 2693702899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Counseling Connection 1710 Golfview Ave #1 Kalamazoo MI 49001-5296 Ph: (269) 370-2899 | Kalamazoo Counseling Connection 225 W Walnut St Kalamazoo MI 49007-5163 Ph: (269) 370-2899 |
| NPI Number | 1396080669 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 1658501812 |
|---|---|
| Medicare Enrollment ID | O20140308000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396080669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401009362 (Michigan) | Primary |
| Provider Name | Maria A Bosnak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255884169 PECOS PAC ID: 2163793589 Enrollment ID: I20170803001864 |
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