Deborah Ann Jacob-johnson, LPC | |
101 W Loomis St, Suite 206, Ludington, MI 49431-2091 | |
(231) 845-7809 | |
Not Available |
Full Name | Deborah Ann Jacob-johnson |
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Gender | Female |
Speciality | Counselor |
Location | 101 W Loomis St, Ludington, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891099149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401010898 (Michigan) | Primary |
Entity Name | Northern Lakes Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669572657 PECOS PAC ID: 8022921154 Enrollment ID: O20031117000682 |
Mailing Address | Practice Location Address |
---|---|
Deborah Ann Jacob-johnson, LPC 1025 N Ferry St, Ludington, MI 49431-1321 Ph: (231) 233-2614 | Deborah Ann Jacob-johnson, LPC 101 W Loomis St, Suite 206, Ludington, MI 49431-2091 Ph: (231) 845-7809 |
Rosanna Van Wyck, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Christopher Roberts, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Katherine Fox Gasper, Counselor Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Ms. Dewan Brandll Mcpherson, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W. Loomis Street, Ludington, MI 49431 Phone: 231-233-1655 | |
Cari Carpenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 | |
Ana Lindsey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Christina Forrester, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 |