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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES

MEDICARE: CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1689155590
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES
Provider Business Mailing Address
First Line : 901 CHIPPEWA ST
Second Line :
City : FLINT
State : MI
Zip : 48503-1552
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1480 N M 52 STE 1
Second Line :
City : OWOSSO
State : MI
Zip : 48867-1025
Country : US
Telephone Number : 989-723-8239
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : JANIS CAMERON
Credential :
Telephone Number : 810-232-9950
Provider Enumeration Date : 08/28/2018
Last Update Date : 02/02/2026

Similar Medicare Providers

1801819149 — CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES
Practice Location Address:
1480 N M 52 STE 1
OWOSSO, MI
48867-1025
Practice Phone: 989-723-8239
Practice Fax: 989-723-8230
1710487749 — TONI IRENE' GUYE LMSW, CAADC
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Practice Fax:
1740659218 — MR. PHILLIP JAMES ZEZULAK LPC, CAADC
Practice Location Address:
1480 N M 52 STE 1
OWOSSO, MI
48867-1025
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Practice Fax: 989-723-8230
1215302872 — PATRICIA KELLY LMSW
Practice Location Address:
1480 N M 52 STE 1
OWOSSO, MI
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Practice Fax: 989-723-8230
1982064002 — BRADLEY HOLLEY LLPC
Practice Location Address:
1480 N M 52 STE 1
OWOSSO, MI
48867-1025
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1144743378 — MS. CHLORIA D BOONE
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Directions to “CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES ” Practice Location

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