Individual
JUSTIN ANTHONY HEUPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
301 KENT ST STE 2, IRON MOUNTAIN, MI 49801-1569
(906) 774-2561
(906) 774-2597
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
(888) 977-2109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103T00000X
Psychologist
6301017696
MI
Other
Enumeration date
12/04/2018
Last updated
11/23/2020
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