| Jeff Ensroth, | |
|
555 Saint Clair River Dr, Algonac, MI 48001-1802 | |
| (810) 794-4982 | |
| (810) 794-4407 |
| Full Name | Jeff Ensroth |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 555 Saint Clair River Dr, Algonac, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992801302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401008717 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Ensroth, 555 Saint Clair River Dr, Algonac, MI 48001-1802 Ph: (810) 794-4982 | Jeff Ensroth, 555 Saint Clair River Dr, Algonac, MI 48001-1802 Ph: (810) 794-4982 |
Diane Theresa Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Pointe Tremble Rd, Algonac, MI 48001 Phone: 586-322-4866 | |
Cara Hudson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Pointe Tremble Rd, Algonac, MI 48001 Phone: 269-207-4767 | |
Ms. Adrienne Lynn Eder, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Saint Clair River Dr, Algonac, MI 48001 Phone: 810-794-7548 |