| Jodi Ferris, LPC | |
|
611 N State St, Stanton, MI 48888-9702 | |
| (989) 831-7502 | |
| (989) 831-7578 |
| Full Name | Jodi Ferris |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 611 N State St, Stanton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306395314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401015373 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401015373 (Michigan) | Primary |
| Entity Name | Montcalm Care Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710074448 PECOS PAC ID: 8123000932 Enrollment ID: O20040623001391 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Ferris, LPC 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7502 | Jodi Ferris, LPC 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7502 |
Mrs. Alyson Vanderveen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Nicole Alexander, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Erin B Vance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Jessica C Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Mary Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 | |
Shannon Jean Borton, FSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Brenda Demenov, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 |