| Jack Pine Wellness, Pllc | |
|
138 Hartshorn St Bad Axe MI 48413-1358 | |
| (810) 310-0854 | |
| Not Available |
| Full Name | Jack Pine Wellness, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 138 Hartshorn St, Bad Axe, Michigan |
| Authorized Official Name and Position | Crysta Ransom-soper (OWNER) |
| Authorized Official Contact | 8103100854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Pine Wellness, Pllc 138 Hartshorn St Bad Axe MI 48413-1358 Ph: (989) 523-0002 | Jack Pine Wellness, Pllc 138 Hartshorn St Bad Axe MI 48413-1358 Ph: (810) 310-0854 |
| NPI Number | 1356106348 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356106348 | NPI | - | NPPES |
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