| Mr Thomas Joseph Dotson Jr, LLPC | |
|
1501 S Center Rd Bldg A, Burton, MI 48509-1731 | |
| (810) 535-5553 | |
| Not Available |
| Full Name | Mr Thomas Joseph Dotson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1501 S Center Rd Bldg A, Burton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154992063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6451022669 (Michigan) | Primary |
| Entity Name | Maple Leaf Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992295281 PECOS PAC ID: 0648642017 Enrollment ID: O20230213000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Joseph Dotson Jr, LLPC 1501 S Center Rd Bldg A, Burton, MI 48509-1731 Ph: (810) 535-5553 | Mr Thomas Joseph Dotson Jr, LLPC 1501 S Center Rd Bldg A, Burton, MI 48509-1731 Ph: (810) 535-5553 |
Mrs. Heather Renee Thomas, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 E Judd Rd, Burton, MI 48529 Phone: 810-766-3160 |
Miss Ashley Nicole Dominy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 E Williamson St, Burton, MI 48529 Phone: 810-493-1741 |
Kesha Norman, MBA,BCBA,LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3268 Cheyenne Ave, Burton, MI 48529 Phone: 810-391-9912 |
Jaqulin Fowler Hagedorn, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 S Center Rd, Burton, MI 48509 Phone: 810-535-5535 |
Ms. Kimberly Diane Thwing, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2411 Briar Creek Ln, Burton, MI 48509 Phone: 810-744-2246 |
Duaa Haggag, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Walli Strasse Dr Ste D, Burton, MI 48509 Phone: 810-444-2511 |
Shunta S Holden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1173 S Packard Ave, Burton, MI 48509 Phone: 810-743-1007 |