| Jr Counseling | |
|
37400 Garfield Rd Ste 325 Clinton Township MI 48036-3677 | |
| (586) 804-6209 | |
| Not Available |
| Full Name | Jr Counseling |
|---|---|
| Speciality | Counselor |
| Location | 37400 Garfield Rd Ste 325, Clinton Township, Michigan |
| Authorized Official Name and Position | Jessica Ross (OWNER/PROVIDER) |
| Authorized Official Contact | 3139186740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Counseling 13935 Valusek Dr Sterling Heights MI 48312-6573 Ph: (313) 918-6740 | Jr Counseling 37400 Garfield Rd Ste 325 Clinton Township MI 48036-3677 Ph: (586) 804-6209 |
| NPI Number | 1356800809 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 1254877640 |
|---|---|
| Medicare Enrollment ID | O20240722002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356800809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144696279 PECOS PAC ID: 8022367937 Enrollment ID: I20240722003019 |
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