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Individual

ALAN HURON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS LIBERAL STUDIES

Contact information

Practice address
349 JACKSON AVE, BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER, MUSKEGON, MI 49442-1114
(231) 343-2753
Mailing address
PO BOX 204, SPARTA, MI 49345-0204
(616) 634-5435

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
410357
MI
171W00000X
Contractor
410357
MI
172A00000X
Driver
410357
MI
172V00000X
Community Health Worker
Primary
410357
MI
174H00000X
Health Educator
410357
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376866160
MI
Enumeration date
04/21/2014
Last updated
04/21/2014
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