| Mrs Christine Frieda Gjestland, LBSW, MA:LLPC | |
|
1206 Clinton Rd, Jackson, MI 49202-2005 | |
| (517) 783-4250 | |
| (517) 783-4164 |
| Full Name | Mrs Christine Frieda Gjestland |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1206 Clinton Rd, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487997797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012098 (Michigan) | Primary |
| 104100000X | Social Worker | 6802073487 (Michigan) | Secondary |
| Entity Name | Jackson Healing Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629677893 PECOS PAC ID: 0840603031 Enrollment ID: O20210107000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christine Frieda Gjestland, LBSW, MA:LLPC 1206 Clinton Rd, Jackson, MI 49202-2005 Ph: (517) 783-4250 | Mrs Christine Frieda Gjestland, LBSW, MA:LLPC 1206 Clinton Rd, Jackson, MI 49202-2005 Ph: (517) 783-4250 |
Mrs. Juliana Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Fern Ave, Jackson, MI 49202 Phone: 517-247-2033 | |
Ms. Deborah Ann Mcdonald, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 | |
Mrs. Rosemary Jordon Beals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-783-5334 Fax: 517-783-6064 | |
Eric G Kelly, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Rd, Jackson, MI 49201 Phone: 517-750-3869 | |
Mr. Michael Lee Freytag, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-474-3793 Fax: 517-796-4561 | |
Christian L Mccaslin, LPC, MA Counselor Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-780-3336 Fax: 517-796-4561 | |
Carlos Alfredo Larios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 1st St, Jackson, MI 49201 Phone: 517-998-4673 Fax: 517-998-0005 |