| Michigan Counseling And Referral Services | |
|
1451 E Lansing Dr Ste 219 East Lansing MI 48823-2993 | |
| (269) 350-3470 | |
| Not Available |
| Full Name | Michigan Counseling And Referral Services |
|---|---|
| Speciality | Social Worker |
| Location | 1451 E Lansing Dr Ste 219, East Lansing, Michigan |
| Authorized Official Name and Position | Antonio Siciliano (OWNER AND THERAPIST) |
| Authorized Official Contact | 2693503470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Counseling And Referral Services 1451 E Lansing Dr Ste 219 East Lansing MI 48823-2993 Ph: (269) 350-3470 | Michigan Counseling And Referral Services 1451 E Lansing Dr Ste 219 East Lansing MI 48823-2993 Ph: (269) 350-3470 |
| NPI Number | 1013648898 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 7810369352 |
|---|---|
| Medicare Enrollment ID | O20230210000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013648898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Antonio Siciliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043703069 PECOS PAC ID: 5496128019 Enrollment ID: I20230302000330 |
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