| Kalee Koronka, MA, LPC | |
|
1199 Harris Ave, Tawas City, MI 48763-9681 | |
| (989) 362-8636 | |
| (989) 362-7800 |
| Full Name | Kalee Koronka |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1199 Harris Ave, Tawas City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982207924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401223667 (Michigan) | Primary |
| Entity Name | Ausable Valley Community Mental Health Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417011701 PECOS PAC ID: 2961485610 Enrollment ID: O20050421000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalee Koronka, MA, LPC P.o. Box 310, 1199 W. Harris Ave., Tawas City, MI 48764 Ph: (989) 362-8636 | Kalee Koronka, MA, LPC 1199 Harris Ave, Tawas City, MI 48763-9681 Ph: (989) 362-8636 |
Carl Edward Howard, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
Carrie Marie Rasmusson, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
Vera Lee Middleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
David Ballard Lane Jr., LMSW, LLP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
Alecia Marie Hughes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
Melissa Loraine Lane, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
Anne Marie Bumbalough, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 |