| Jearald Dudley Ii, | |
|
47 Carriage Way, Ypsilanti, MI 48197-7430 | |
| (734) 757-0308 | |
| Not Available |
| Full Name | Jearald Dudley Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 47 Carriage Way, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851908636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Lenawee Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962576983 PECOS PAC ID: 7214828177 Enrollment ID: O20040322001118 |
| Entity Name | Jaycar Wellness Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427769215 PECOS PAC ID: 4082084975 Enrollment ID: O20230111000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Jearald Dudley Ii, 47 Carriage Way, Ypsilanti, MI 48197-7430 Ph: (734) 757-0308 | Jearald Dudley Ii, 47 Carriage Way, Ypsilanti, MI 48197-7430 Ph: (734) 757-0308 |
Ms. Dawn Elaine Chalker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Washtenaw Rd, Ypsilanti, MI 48197 Phone: 734-417-2664 | |
Edward Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2891 International Dr Apt 1944c, Ypsilanti, MI 48197 Phone: 313-820-7444 | |
Samantha Maria Bastianelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Packard Rd Ste 4, Ypsilanti, MI 48197 Phone: 734-480-8099 Fax: 734-999-3779 | |
Bradley Moss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Levona St, Ypsilanti, MI 48198 Phone: 734-674-0033 | |
Sima Haghpassand Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7716 Pioneer Dr, Ypsilanti, MI 48197 Phone: 734-915-8510 | |
Alex Laursen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Evelyn Ave, Ypsilanti, MI 48198 Phone: 863-899-3214 | |
Mr. Isaac Williamson, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1205 Collegewood St, Ypsilanti, MI 48197 Phone: 734-216-0688 |