Jeanna Boase, LPC | |
1401 60th St Se Ste B, Kentwood, MI 49508-7065 | |
(616) 947-3159 | |
Not Available |
Full Name | Jeanna Boase |
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Gender | Female |
Speciality | Counselor |
Location | 1401 60th St Se Ste B, Kentwood, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225690704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401015946 (Michigan) | Primary |
Entity Name | Lj Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174134654 PECOS PAC ID: 9537589593 Enrollment ID: O20201014000832 |
Mailing Address | Practice Location Address |
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Jeanna Boase, LPC 1401 60th St Se Ste B, Kentwood, MI 49508-7065 Ph: (616) 947-3159 | Jeanna Boase, LPC 1401 60th St Se Ste B, Kentwood, MI 49508-7065 Ph: (616) 947-3159 |
Dakota Mccaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1545 68th St Se Ste 201, Kentwood, MI 49508 Phone: 231-668-4909 | |
Mr. Glenn Edward Kutzli, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 3333 36th St Se, Kentwood, MI 49512 Phone: 616-954-3540 | |
Dr. Darryl P Plunkett, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4649 N Breton Ct Se Ste A, Kentwood, MI 49508 Phone: 616-275-0577 | |
Ms. Mary Josephine Clark, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4835 Eastern Ave Se, Suite 102, Kentwood, MI 49508 Phone: 616-262-9749 Fax: 866-416-7581 | |
Joshua Colby, M.A, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-805-3660 | |
Mr. David Alan Vanderwal, MA/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6670 Kalamazoo Ave Se, Suite D, Kentwood, MI 49508 Phone: 616-565-4159 Fax: 616-565-4161 | |
Kim Michelle Childress, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 36th St Se, Kentwood, MI 49512 Phone: 616-304-7517 |