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Organization
616 SUD SERVICES, LLC
Active
Organization
616 SUD SERVICES, LLC
Active
Other names
616 SUD Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO I. LEDESMA MS, CCJP. CADC, SAP (CLINICAN/OWNER)
(616) 878-3223
Entity
Organization
Contact information
Practice address
852 47TH ST SW STE 8, WYOMING, MI 49509-5104
(616) 878-3223
(616) 878-3211
Mailing address
852 47TH ST SW STE 8, WYOMING, MI 49509-5104
(616) 878-3223
(616) 878-3211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
03/31/2025
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