Kathryn Gleason Ma Lmft Pllc | |
31330 Northwestern Hwy Ste A Farmington Hills MI 48334-2560 | |
(248) 935-2165 | |
(877) 552-0793 |
Full Name | Kathryn Gleason Ma Lmft Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 31330 Northwestern Hwy Ste A, Farmington Hills, Michigan |
Authorized Official Name and Position | Kathryn Gleason (MANAGING EMPLOYEE) |
Authorized Official Contact | 2489352165 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kathryn Gleason Ma Lmft Pllc 8440 Pine Cove Dr Commerce Township MI 48382-4452 Ph: (248) 935-2165 | Kathryn Gleason Ma Lmft Pllc 31330 Northwestern Hwy Ste A Farmington Hills MI 48334-2560 Ph: (248) 935-2165 |
NPI Number | 1669245015 |
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Provider Enumeration Date | 11/06/2023 |
Last Update Date | 02/29/2024 |
Certification Date | 02/29/2024 |
Medicare PECOS PAC ID | 0143670778 |
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Medicare Enrollment ID | O20231222001459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669245015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Kathryn Joan Gleason |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1255540373 PECOS PAC ID: 2961852595 Enrollment ID: I20231222001532 |
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