Lake Orion Counseling Center | |
3604 Clarkston Rd Clarkston MI 48348-5215 | |
(248) 595-9969 | |
(248) 814-0361 |
Full Name | Lake Orion Counseling Center |
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Speciality | Psychologist |
Location | 3604 Clarkston Rd, Clarkston, Michigan |
Authorized Official Name and Position | Adam Ross Pasciak (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2488079894 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lake Orion Counseling Center 3604 Clarkston Rd Clarkston MI 48348-5215 Ph: (248) 595-9969 | Lake Orion Counseling Center 3604 Clarkston Rd Clarkston MI 48348-5215 Ph: (248) 595-9969 |
NPI Number | 1255759486 |
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Provider Enumeration Date | 04/04/2014 |
Last Update Date | 08/18/2021 |
Certification Date | 08/18/2021 |
Medicare PECOS PAC ID | 3870717838 |
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Medicare Enrollment ID | O20140612001353 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255759486 | NPI | - | NPPES |
6301015095 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301015095 (Michigan) | Primary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
Provider Name | Cindy M Nelson Pouget |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720208374 PECOS PAC ID: 1153367446 Enrollment ID: I20050708000313 |
Provider Name | Adam R Pasciak |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548569049 PECOS PAC ID: 8224252283 Enrollment ID: I20140612001391 |
Provider Name | Karyn L Skiba |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841672987 PECOS PAC ID: 5698040293 Enrollment ID: I20171009000337 |
Provider Name | Cynthia Hilley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477885812 PECOS PAC ID: 5395098396 Enrollment ID: I20181022000389 |
Provider Name | Deanna Martens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699380469 PECOS PAC ID: 1456741487 Enrollment ID: I20211207001718 |
Provider Name | Lindsay Simmons |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548700487 PECOS PAC ID: 4981094810 Enrollment ID: I20211207001814 |
Provider Name | Nancy Gorelick |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417258427 PECOS PAC ID: 8022457399 Enrollment ID: I20240418004073 |
Provider Name | Jeannie F Craig |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1114389194 PECOS PAC ID: 8921399585 Enrollment ID: I20240419000640 |
Provider Name | Crystal R Pasciak |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891061909 PECOS PAC ID: 9133343197 Enrollment ID: I20240419003147 |
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