Sunstone Counseling Pllc | |
5955 W Main St Kalamazoo MI 49009-9101 | |
(269) 359-7101 | |
Not Available |
Full Name | Sunstone Counseling Pllc |
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Speciality | Counselor |
Location | 5955 W Main St, Kalamazoo, Michigan |
Authorized Official Name and Position | Linnea Ruth Halfvarson (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 2695984714 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunstone Counseling Pllc 5955 W Main St Kalamazoo MI 49009-9101 Ph: (269) 359-7101 | Sunstone Counseling Pllc 5955 W Main St Kalamazoo MI 49009-9101 Ph: (269) 359-7101 |
NPI Number | 1457060162 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Medicare PECOS PAC ID | 6406215532 |
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Medicare Enrollment ID | O20230706003740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457060162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Provider Name | Dawn L Vollink |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447346432 PECOS PAC ID: 4486542172 Enrollment ID: I20040305000042 |
Provider Name | Linnea Halfvarson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558423681 PECOS PAC ID: 1355700295 Enrollment ID: I20240514002430 |
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