| Wireman Counseling Innovations Llc | |
|
914 Airport Rd Jackson MI 49202-1850 | |
| (517) 499-2976 | |
| Not Available |
| Full Name | Wireman Counseling Innovations Llc |
|---|---|
| Speciality | Psychologist |
| Location | 914 Airport Rd, Jackson, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wireman Counseling Innovations Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Wireman Counseling Innovations Llc 914 Airport Rd Jackson MI 49202-1850 Ph: (517) 499-2976 |
| NPI Number | 1275038523 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Medicare PECOS PAC ID | 8426440637 |
|---|---|
| Medicare Enrollment ID | O20220120002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275038523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301010207 (Michigan) | Primary |
| Provider Name | Sari Lynn Abromovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942359914 PECOS PAC ID: 2264624469 Enrollment ID: I20181115002705 |
| Provider Name | Cora Danielle Wandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801351671 PECOS PAC ID: 7416296108 Enrollment ID: I20190225000196 |
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