| Gregg Shanahan Counseling Services Llc | |
|
1821 Nemoke Ct Apt 2 Haslett MI 48840-8626 | |
| (815) 307-5275 | |
| (815) 307-5275 |
| Full Name | Gregg Shanahan Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1821 Nemoke Ct Apt 2, Haslett, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Shanahan Counseling Services Llc Po Box 10 Mason MI 48854 Ph: () - | Gregg Shanahan Counseling Services Llc 1821 Nemoke Ct Apt 2 Haslett MI 48840-8626 Ph: (815) 307-5275 |
| NPI Number | 1316463474 |
|---|---|
| Provider Enumeration Date | 08/20/2017 |
| Last Update Date | 08/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316463474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801098283 (Michigan) | Primary |
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