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Individual

CHARLES JACOB HUITEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
829 W MAIN ST STE C3, GAYLORD, MI 49735-1998
(989) 732-6761
Mailing address
1181 NUS23, EAST TAWAS, MI 48730
(989) 260-2903

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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