MEDICARE: HORIZON COUNSELING & CONSULTING SERVICES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6301005915	MI

General Provider Information

NPI Number	:	1447288048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON COUNSELING & CONSULTING SERVICES, PC

Provider Business Mailing Address
First Line	:	123 LANSING ST
Second Line	:
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-1696
Country	:	US
Telephone Number	:	517-543-9500
Fax Number	:	517-543-9528

Provider Business Practice Location Address
First Line	:	123 LANSING ST
Second Line	:
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-1696
Country	:	US
Telephone Number	:	517-543-9500
Fax Number	:	517-543-9528

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KLAUS J SAUERBREY
Credential	:	ED.D.
Telephone Number	:	517-543-9500

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	09/21/2007

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