| K E Rivard Counseling Llc | |
|
15479 S Telegraph Rd Ste B Monroe MI 48161-8001 | |
| (734) 777-3830 | |
| Not Available |
| Full Name | K E Rivard Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 15479 S Telegraph Rd Ste B, Monroe, Michigan |
| Authorized Official Name and Position | Kristy E Rivard (COUNSELOR) |
| Authorized Official Contact | 7347773830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K E Rivard Counseling Llc 15479 S Telegraph Rd Ste B Monroe MI 48161-8001 Ph: (734) 777-3830 | K E Rivard Counseling Llc 15479 S Telegraph Rd Ste B Monroe MI 48161-8001 Ph: (734) 777-3830 |
| NPI Number | 1467100867 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/13/2024 |
| Medicare PECOS PAC ID | 5496194375 |
|---|---|
| Medicare Enrollment ID | O20240412000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467100867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristy E Rivard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942723952 PECOS PAC ID: 3476992058 Enrollment ID: I20240416000619 |
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