Kmf Counseling Llc | |
307 Pratt Rd Kalamazoo MI 49001-5318 | |
(269) 312-9244 | |
Not Available |
Full Name | Kmf Counseling Llc |
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Speciality | Social Worker |
Location | 307 Pratt Rd, Kalamazoo, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kmf Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Kmf Counseling Llc 307 Pratt Rd Kalamazoo MI 49001-5318 Ph: (269) 312-9244 |
NPI Number | 1407385230 |
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Provider Enumeration Date | 06/06/2017 |
Last Update Date | 06/06/2017 |
Medicare PECOS PAC ID | 2961772843 |
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Medicare Enrollment ID | O20170726000741 |
Identifier | Type | State | Issuer |
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1407385230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 6801078455 (Michigan) | Primary |
Provider Name | Kristi M Farnstrom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992235782 PECOS PAC ID: 8325318223 Enrollment ID: I20170726001489 |
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