| 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 | Counselor - Mental Health | 
| Location | 200 Holton Rd, Muskegon, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093930141 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401010258 (Michigan) | Primary | 
| 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  |