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NPI Code Detail

MEDICARE: DESERT STREAMS P C

MEDICARE: DESERT STREAMS P C
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 CounselorMI
21041C0700XClinical Social WorkerMI
3106H00000XMarriage & Family TherapistMI
4103T00000XPsychologistMI

General Provider Information

NPI Number : 1740295492
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT STREAMS P C
Provider Business Mailing Address
First Line : 2019 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-345-0909
Fax Number : 269-345-4985
Provider Business Practice Location Address
First Line : 2019 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-345-0909
Fax Number : 269-345-4985
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MR. ANDREW STEVEN BROWN
Credential : MA, LPC
Telephone Number : 269-345-0909
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/23/2022

Similar Medicare Providers

1831169861 — DR. ROBERT RAYMOND GERL D. MIN., PH.D.
Practice Location Address:
2019 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-345-0909
Practice Fax: 269-345-4985
1750390951 — MR. CHRIS A AUGUSTINE MA LPC SCL
Practice Location Address:
2019 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-345-0909
Practice Fax:
1053425058 — MRS. JANINE DANIELLE KITZMAN M.S.W., L.C.S.W.
Practice Location Address:
2019 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-345-0909
Practice Fax: 269-345-4985
1407941180 — MR. JAMES HAY STROUPE DC
Practice Location Address:
2021 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-381-1800
Practice Fax: 269-381-6018
1396828778 — MRS. MARCY WUJKOWSKI MA, LLP, LPC
Practice Location Address:
2019 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-345-0909
Practice Fax:
1730242959 — LAYLA FREDA JABBOORI MA LLP
Practice Location Address:
2019 RAMBLING RD
KALAMAZOO, MI
49008-1630
Practice Phone: 269-345-0909
Practice Fax: 269-345-4985

Directions to “DESERT STREAMS P C ” Practice Location

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