| Jacquelyn Vanzile, LPCC | |
|
2215 Fuller Rd, Ann Arbor, MI 48105-2303 | |
| (734) 769-7100 | |
| Not Available |
| Full Name | Jacquelyn Vanzile |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2215 Fuller Rd, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003408428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.1901935 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.2202913 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Vanzile, LPCC 333 N Summit St Fl 7, Toledo, OH 43604-1531 Ph: () - | Jacquelyn Vanzile, LPCC 2215 Fuller Rd, Ann Arbor, MI 48105-2303 Ph: (734) 769-7100 |
Ms. Robin Dawn Edison, MED, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5656 Le Blanc Ave, Ann Arbor, MI 48103 Phone: 248-520-0880 | |
Maia Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St Ste 270, Ann Arbor, MI 48108 Phone: 734-995-6755 | |
Mrs. Christine Ponce Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St, Suite 220, Ann Arbor, MI 48108 Phone: 734-477-9999 Fax: 734-477-0955 | |
Erin E Bultema, Counselor Medicare: Medicare Enrolled Practice Location: 727 Miller Ave, Ann Arbor, MI 48103 Phone: 734-209-3727 | |
Dr. Robert Michael Ortega, MSW, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 S. Forest, Ann Arbor, MI 48104 Phone: 734-763-6576 Fax: 734-763-3372 | |
Paula Leapheart, Counselor Medicare: Medicare Enrolled Practice Location: 522 S Maple Rd, Ann Arbor, MI 48103 Phone: 734-585-7970 |