Renewal Counseling Services | |
4994 Park Lake Rd East Lansing MI 48823-3836 | |
(517) 896-4060 | |
Not Available |
Full Name | Renewal Counseling Services |
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Speciality | Social Worker |
Location | 4994 Park Lake Rd, East Lansing, Michigan |
Authorized Official Name and Position | Monica Poff (SOCIAL WORKER) |
Authorized Official Contact | 5178964060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renewal Counseling Services 4994 Park Lake Road East Lansing MI 48823 Ph: () - | Renewal Counseling Services 4994 Park Lake Rd East Lansing MI 48823-3836 Ph: (517) 896-4060 |
NPI Number | 1093136376 |
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Provider Enumeration Date | 01/03/2014 |
Last Update Date | 01/03/2014 |
Medicare PECOS PAC ID | 1052542164 |
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Medicare Enrollment ID | O20140402001004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093136376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801091453 (Michigan) | Primary |
Provider Name | Monica Poff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366863672 PECOS PAC ID: 8426289257 Enrollment ID: I20140320001112 |
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