Open Door Family Counseling | |
316 S Brown St Ste A Jackson MI 49203-1481 | |
(517) 936-7580 | |
Not Available |
Full Name | Open Door Family Counseling |
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Speciality | Counselor |
Location | 316 S Brown St Ste A, Jackson, Michigan |
Authorized Official Name and Position | Lawrence Michael Zolman (MANAGER) |
Authorized Official Contact | 5179367580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Open Door Family Counseling 726 Oakridge Dr Jackson MI 49203-3915 Ph: (517) 936-7580 | Open Door Family Counseling 316 S Brown St Ste A Jackson MI 49203-1481 Ph: (517) 936-7580 |
NPI Number | 1992339071 |
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Provider Enumeration Date | 02/27/2020 |
Last Update Date | 02/27/2020 |
Certification Date | 02/27/2020 |
Medicare PECOS PAC ID | 7618389164 |
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Medicare Enrollment ID | O20241015001308 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992339071 | NPI | - | NPPES |
6401010101 | Other | MI | STATE LICENSE NUMBER FOR PROFESSIONAL COUNSELING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Lawrence Michael Zolman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407938889 PECOS PAC ID: 1951712983 Enrollment ID: I20241015001473 |
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