| Graciela Rico | |
|
5085 Pheasant Run Dr Apt 4 Saginaw MI 48638-6344 | |
| (989) 996-1594 | |
| Not Available |
| Full Name | Graciela Rico |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5085 Pheasant Run Dr Apt 4, Saginaw, Michigan |
| Authorized Official Name and Position | Graciela Rico (OWNER) |
| Authorized Official Contact | 9899961594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graciela Rico 5085 Pheasant Run Dr Apt 4 Saginaw MI 48638-6344 Ph: () - | Graciela Rico 5085 Pheasant Run Dr Apt 4 Saginaw MI 48638-6344 Ph: (989) 996-1594 |
| NPI Number | 1760977268 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760977268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401013668 (Michigan) | Primary |
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