| Fawley-huss Counseling Llc | |
|
5945 W Main St Ste 207 Kalamazoo MI 49009-8706 | |
| (269) 207-2520 | |
| Not Available |
| Full Name | Fawley-huss Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5945 W Main St Ste 207, Kalamazoo, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fawley-huss Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Fawley-huss Counseling Llc 5945 W Main St Ste 207 Kalamazoo MI 49009-8706 Ph: (269) 207-2520 |
| NPI Number | 1578134474 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Medicare PECOS PAC ID | 6305244864 |
|---|---|
| Medicare Enrollment ID | O20211013003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578134474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Fawley-huss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740348135 PECOS PAC ID: 3678755824 Enrollment ID: I20110309000045 |
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