Kristine A Koetje, MA LPC LLP | |
17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
(616) 296-2130 | |
(162) 962-1486 |
Full Name | Kristine A Koetje |
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Gender | Female |
Speciality | Counselor |
Location | 17224 Van Wagoner Rd, Spring Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164595526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401002021 (Michigan) | Primary |
Entity Name | Kristine Koetje Ma, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489 |
Mailing Address | Practice Location Address |
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Kristine A Koetje, MA LPC LLP 17224 Van Wagoner Rd Ste B, Spring Lake, MI 49456-9702 Ph: (616) 296-2130 | Kristine A Koetje, MA LPC LLP 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 296-2130 |
Mr. Mark E Olsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Mr. Douglas Alan Wilson, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-799-8182 Fax: 616-296-2148 | |
Kyle John-arthur Parcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Leeanna April Peter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125 | |
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663 |