|
| |
|
1200 N West Ave Suite 400 Jackson MI 49202-2179 | |
| (517) 780-3336 | |
| (517) 796-4561 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 1200 N West Ave, Jackson, Michigan |
| Authorized Official Name and Position | Gregory F Gallaher (CEO) |
| Authorized Official Contact | 5177803336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 N West Ave Suite 400 Jackson MI 49202-2179 Ph: (517) 780-3336 | 1200 N West Ave Suite 400 Jackson MI 49202-2179 Ph: (517) 780-3336 |
| NPI Number | 1942476072 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942476072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301012470 (Michigan) | Primary |
Alexis Ahlbaum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5633 Poplar Dr, Jackson, MI 49201 Phone: 517-270-1994 | |
Inner Guidance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 W Michigan Ave, Jackson, MI 49201 Phone: 517-416-8878 Fax: 517-962-5316 | |
Center For Family Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 | |
Highfields Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4250 | |