Jessica J Bernard, BSW

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manistique, MI

NPI 1104067172 · NPPES record last updated Mar 20, 2009

Key facts

NPI
1104067172
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
5698W US Highway 2
Manistique, MI 49854-9116
Phone
(906) 341-8469
Fax
(906) 341-1323
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

5698W US Highway 2
Manistique, MI 49854-9116

Mailing address

5698W US Highway 2
Manistique, MI 49854-9116
Phone (906) 341-8469

Other providers in Manistique, MI

All providers in Manistique, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.