| Alcohol Information And Counseling Center | |
|
1800 Imlay City Rd Lapeer MI 48446 | |
| (810) 667-0243 | |
| (810) 245-5676 |
| Full Name | Alcohol Information And Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1800 Imlay City Rd, Lapeer, Michigan |
| Authorized Official Name and Position | Todd Edward Anglebrandt (AICC DIRECTOR/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8102455689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol Information And Counseling Center 1800 Imlay City Rd Lapeer MI 48446 Ph: (810) 667-0243 | Alcohol Information And Counseling Center 1800 Imlay City Rd Lapeer MI 48446 Ph: (810) 667-0243 |
| NPI Number | 1487741286 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Medicare PECOS PAC ID | 4183533193 |
|---|---|
| Medicare Enrollment ID | O20071109000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487741286 | NPI | - | NPPES |
| Provider Name | Cecil D Christo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285736652 PECOS PAC ID: 3072601053 Enrollment ID: I20071109000144 |
| Provider Name | Ryan W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629185681 PECOS PAC ID: 0042468761 Enrollment ID: I20120920000700 |
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