Katherine Ibach

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

NPI 1851556575 · NPPES record last updated Jul 22, 2008

Key facts

NPI
1851556575
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
534 Franklin Rd
Pontiac, MI 48341-2527
Phone
(248) 338-0702
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Completion House, Inc. Dba Turning Point Recovery Centers Past Accepting new patients
Completion House, Inc. Dba Turning Point Recovery Centers Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

534 Franklin Rd
Pontiac, MI 48341-2527

Mailing address

534 Franklin Rd
Pontiac, MI 48341-2527

Other providers in Pontiac, MI

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

Sources for this page

Verify at the official NPI Registry.