| Ms Jennifer Lynn Imbault, MA, LLPC | |
|
200 Holton Rd, Unit D, Muskegon, MI 49445-3349 | |
| (231) 744-5100 | |
| (231) 744-5100 |
| Full Name | Ms Jennifer Lynn Imbault |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 22 Years |
| Location | 200 Holton Rd, Muskegon, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093930141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401010258 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Psychological Associates Pc | 0941385462 | 2 |
| Entity Name | Harbor Psychological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437285830 PECOS PAC ID: 0941385462 Enrollment ID: O20080307000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Lynn Imbault, MA, LLPC Po Box 304, Whitehall, MI 49461-0304 Ph: (231) 730-4330 | Ms Jennifer Lynn Imbault, MA, LLPC 200 Holton Rd, Unit D, Muskegon, MI 49445-3349 Ph: (231) 744-5100 |
Valerie A Porenta, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 3rd St, Muskegon, MI 49441 Phone: 231-726-4735 Fax: 231-722-0789 | |
Jennifer Roach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 4th St, Muskegon, MI 49441 Phone: 231-726-2299 | |
Marjorie Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-4359 Fax: 231-733-6151 | |
Ms. Lauren C Thomas, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3636 | |
Monique L Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Peck St, Muskegon, MI 49441 Phone: 231-724-3336 | |
Mr. Peter Jonas Chandler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-6050 Fax: 231-724-6066 | |
Nicholas Bremer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 |