| Alicia Damgard, LPC | |
|
130 N Main St, Lake City, MI 49651-5103 | |
| (231) 295-1196 | |
| Not Available |
| Full Name | Alicia Damgard |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 130 N Main St, Lake City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629731575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401223166 (Michigan) | Primary |
| Entity Name | Family Supportive Services Of Northern Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943353 PECOS PAC ID: 5092051144 Enrollment ID: O20190109003415 |
| Entity Name | Grounded Therapy Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629852462 PECOS PAC ID: 9335592419 Enrollment ID: O20240124004095 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Damgard, LPC 150 Hunters Rdg, Cadillac, MI 49601-8006 Ph: () - | Alicia Damgard, LPC 130 N Main St, Lake City, MI 49651-5103 Ph: (231) 295-1196 |
Mrs. Stacey Marie Hiltz Kaminski, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 S Canal St, Lake City, MI 49651 Phone: 231-342-8105 | |
Mrs. Carol Ann Kenison, MA, LLP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N Main St, Lake City, MI 49651 Phone: 231-295-1196 | |
Andrea A Podsaid, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1691 Coaster Rd, Lake City, MI 49651 Phone: 231-649-4703 | |
Loretta Kay Pickford, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 4101 W Forest Rd, Lake City, MI 49651 Phone: 231-434-8587 | |
Ms. L. Kim Duvall, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 S Morey Rd, Ste. B, Lake City, MI 49651 Phone: 517-673-0553 Fax: 231-295-1096 | |
Ms. Carol Anne Shetenhelm, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1489 W Houghton Lake Rd, Lake City, MI 49651 Phone: 231-429-0009 |