| Redmond Counseling Llc | |
|
779 Scott Woods Dr Ne Comstock Park MI 49321-9617 | |
| (616) 915-4769 | |
| Not Available |
| Full Name | Redmond Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 779 Scott Woods Dr Ne, Comstock Park, Michigan |
| Authorized Official Name and Position | Patricia Joanne Cornell (THERAPIST) |
| Authorized Official Contact | 6169154769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Counseling Llc 779 Scott Woods Dr Ne Comstock Park MI 49321-9617 Ph: (616) 915-4769 | Redmond Counseling Llc 779 Scott Woods Dr Ne Comstock Park MI 49321-9617 Ph: (616) 915-4769 |
| NPI Number | 1679825533 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 1658516943 |
|---|---|
| Medicare Enrollment ID | O20130313000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679825533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6802083640 (Michigan) | Primary |
| Provider Name | Patricia J Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932294931 PECOS PAC ID: 6103061494 Enrollment ID: I20130313000546 |
| Provider Name | Kristina Anne Trahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578815635 PECOS PAC ID: 0042568370 Enrollment ID: I20180802003008 |
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