Jennifer Marie Polio, | |
3111 Electric Ave, Port Huron, MI 48060-8127 | |
(810) 966-3353 | |
Not Available |
Full Name | Jennifer Marie Polio |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3111 Electric Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891150850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | St Clair County Community Mental Health Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
Entity Name | Pure Psychiatry Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie Polio, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 966-3353 | Jennifer Marie Polio, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 966-3353 |
Rebecca Lynn Guerra, M.A., LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-455-0102 Fax: 810-984-8896 | |
Adam Charles Mchenry, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 810-248-1568 | |
Kari Kathleen Trempler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896 | |
Alleaner Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Military St, Port Huron, MI 48060 Phone: 810-987-7050 | |
Amy Sue Smith, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-966-7830 Fax: 810-985-7620 | |
Mrs. Lindsay Alice Krauskopf, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 800-248-1568 | |
Brandi Demetroff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2414 Petit St, Port Huron, MI 48060 Phone: 810-238-0483 |