| Ms Rebecca Ann Derocha, MA, LPC, CAAC-R | |
| 
					940 E 8th St, Traverse City, MI 49686-2893  | |
| (231) 922-4810 | |
| Not Available | 
| Full Name | Ms Rebecca Ann Derocha | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 940 E 8th St, Traverse City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194057984 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401009909 (Michigan) | Primary | 
| Entity Name | Catholic Human Services, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497716047 PECOS PAC ID: 4880586494 Enrollment ID: O20040329000192  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Rebecca Ann Derocha, MA, LPC, CAAC-R 407 George St, Traverse City, MI 49686-4811 Ph: (231) 590-2047  | Ms Rebecca Ann Derocha, MA, LPC, CAAC-R 940 E 8th St, Traverse City, MI 49686-2893 Ph: (231) 922-4810  | 
Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177  | |
Breanne Ashly Pedersen,  Counselor Medicare: Medicare Enrolled Practice Location: 3298 Veterans Dr Ste 1, Traverse City, MI 49684 Phone: 231-715-8466 Fax: 231-943-2263  | |
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282  | |
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920  | |
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126  | |
Terry Gorton,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095  | |
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370  |