Vision Counseling | |
16456 E C Ave Augusta MI 49012-9340 | |
(269) 888-4212 | |
(269) 276-5290 |
Full Name | Vision Counseling |
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Speciality | Social Worker |
Location | 16456 E C Ave, Augusta, Michigan |
Authorized Official Name and Position | Daniel Renstrom (OWNER) |
Authorized Official Contact | 2698884212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vision Counseling 515 Stockbridge Ave. Kalamazoo MI 49001-2933 Ph: () - | Vision Counseling 16456 E C Ave Augusta MI 49012-9340 Ph: (269) 888-4212 |
NPI Number | 1124268867 |
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Provider Enumeration Date | 02/20/2009 |
Last Update Date | 03/29/2024 |
Certification Date | 03/29/2024 |
Medicare PECOS PAC ID | 3274883764 |
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Medicare Enrollment ID | O20180925002173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124268867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801084943 (Michigan) | Primary |
Provider Name | Daniel P Renstrom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679645147 PECOS PAC ID: 9638429673 Enrollment ID: I20180912001605 |
Recovery Physicians Network Of Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10499 N 48th St, Augusta, MI 49012 Phone: 269-282-7700 |