| Mr Charles Hughes, | |
|
2715 S Townline Rd, Houghton Lake, MI 48629-9294 | |
| (989) 366-1115 | |
| Not Available |
| Full Name | Mr Charles Hughes |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2715 S Townline Rd, Houghton 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 |
|---|---|---|---|
| 1669897492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401013834 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Munson Healthcare Grayling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Hughes, 2715 S Townline Rd, Houghton Lake, MI 48629-9294 Ph: (989) 366-1115 | Mr Charles Hughes, 2715 S Townline Rd, Houghton Lake, MI 48629-9294 Ph: (989) 366-1115 |
Leah Gaudette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 S Townline Rd, Houghton Lake, MI 48629 Phone: 989-366-1122 Fax: 989-366-9420 | |
Mrs. Maria Kaniszewski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 S Townline Rd, Houghton Lake, MI 48629 Phone: 989-366-1118 Fax: 989-366-9420 | |
Rachel Arlene Gillmore, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1821 W Houghton Lake Dr Ste C, Houghton Lake, MI 48629 Phone: 231-886-8295 | |
Lois Diane Adams, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 S Townline Rd, Northern Lakes Cmh, Houghton Lake, MI 48629 Phone: 989-366-8550 |