| Jeremy Michael Malzon, MA, LPC | |
| 
					5675 Fairview St, Stevensville, MI 49127-1033  | |
| (269) 429-7727 | |
| Not Available | 
| Full Name | Jeremy Michael Malzon | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 5675 Fairview St, Stevensville, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467960922 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401016442 (Michigan) | Secondary | 
| 101YP2500X | Counselor - Professional | 6401019819 (Michigan) | Primary | 
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172  | 
| Entity Name | Lakeland Medical Practices | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeremy Michael Malzon, MA, LPC 4065 Buffalo Rd, Buchanan, MI 49107-8426 Ph: (715) 644-8069  | Jeremy Michael Malzon, MA, LPC 5675 Fairview St, Stevensville, MI 49127-1033 Ph: (269) 429-7727  | 
Mr. Christopher T Alphenaar, LPC, LLP. CAADC Counselor Medicare: Medicare Enrolled Practice Location: 5710 Saint Joseph Ave, Stevensville, MI 49127 Phone: 269-240-4137 Fax: 269-588-3047  | |
Becka O'neil,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727  | |
Marcus Youngberg, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7277 Fax: 269-429-5754  | |
Robert Sanders,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 4661 Red Arrow Hwy, Stevensville, MI 49127 Phone: 269-281-7403  | |
Kara Youngblood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727  | |
Meredith Sheldon, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727  | |
Mary Gilliam-andres, M.A., L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 Fax: 269-429-5754  |