Sense Of Self | |
862 E Eighth St Ste G-3 Traverse City MI 49686-2727 | |
(231) 642-1962 | |
Not Available |
Full Name | Sense Of Self |
---|---|
Speciality | Counselor |
Location | 862 E Eighth St Ste G-3, Traverse City, Michigan |
Authorized Official Name and Position | Kaylee Patterson (OWNER) |
Authorized Official Contact | 2316421962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sense Of Self 611 Bates St Traverse City MI 49686-3308 Ph: (231) 642-1962 | Sense Of Self 862 E Eighth St Ste G-3 Traverse City MI 49686-2727 Ph: (231) 642-1962 |
NPI Number | 1417706441 |
---|---|
Provider Enumeration Date | 05/13/2024 |
Last Update Date | 05/13/2024 |
Certification Date | 05/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417706441 | NPI | - | NPPES |
1053789172 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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