| Mr Paul Jeffrey Thompson, MA LPC, LBSW | |
|
217 E Sanilac Rd, Sandusky, MI 48471-1383 | |
| (810) 583-0452 | |
| (810) 648-0315 |
| Full Name | Mr Paul Jeffrey Thompson |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 217 E Sanilac Rd, Sandusky, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629101944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401009076 (Michigan) | Primary |
| Entity Name | Sanilac County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306854880 PECOS PAC ID: 0749252062 Enrollment ID: O20040809000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Jeffrey Thompson, MA LPC, LBSW 2333 Marlette Rd., Applegate, MI 48401-9739 Ph: (810) 404-8524 | Mr Paul Jeffrey Thompson, MA LPC, LBSW 217 E Sanilac Rd, Sandusky, MI 48471-1383 Ph: (810) 583-0452 |
Breonna Galvan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Darlene Ann White, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 106-480-3308 | |
Mrs. Grace Elaine Hassler, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Green Acres, Sandusky, MI 48471 Phone: 810-648-0398 Fax: 810-648-2322 | |
Tayler Marie Berger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Trisha Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N Elk St, Sandusky, MI 48471 Phone: 586-491-7598 | |
Ms. Cheryl Ann Mccoy, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Mr. Jack A Dutton, MA, LPC, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-583-0393 |