Individual
GERALD MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
208 W LINCOLN ST, CHARLEVOIX, MI 49720
(231) 547-1144
Mailing address
208 W LINCOLN ST, CHARLEVOIX, MI 49720-1336
(231) 547-1144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000722974
OPTUM
MI
01
—
1972982841
BCBSM PPOTRUST (55) & BCBSMMENTALHEALTH & SUBSTANCE ABUSE
MI
05
—
20151209439760
—
MI
01
—
383SYS0617-C
HUMANA BEHAVIORAL HEALTH
MI
01
—
COUN18-99599
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
MI
01
—
MHPC20131030
MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEALTH ADVANTAGE
MI
01
—
MIS601220445
MAGELLAN HEALTHCARE
MI
Enumeration date
05/26/2015
Last updated
02/24/2019
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