| Timothy Adli Kanaan, LPC | |
|
816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | |
| (269) 501-5829 | |
| Not Available |
| Full Name | Timothy Adli Kanaan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 816 E Michigan Ave Ste 103, Paw Paw, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346775269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401012892 (Michigan) | Primary |
| Entity Name | Kalamazoo County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Adli Kanaan, LPC 49324 Churchill St, Mattawan, MI 49071-8910 Ph: (269) 501-5829 | Timothy Adli Kanaan, LPC 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Ph: (269) 501-5829 |
Nicole Alayna Douglass, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Phone: 269-815-8169 | |
Andrina Jordan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Paw Paw, MI 49079 Phone: 269-655-3334 Fax: 269-657-6523 | |
Rachel Rose Robertson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St Ste C, Paw Paw, MI 49079 Phone: 269-657-5574 | |
Jason Vanlester, M.A, Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-870-6919 | |
Miss Julie Ann Strong, L.L.P., C.A.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Paw Paw, MI 49079 Phone: 269-655-3394 Fax: 269-655-1557 | |
Elizabeth May Headley, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St Ste C, Paw Paw, MI 49079 Phone: 269-655-3356 | |
Aaron Bronsink, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079 Phone: 269-858-8230 |