Individual
MR. ROBERT JAMES BULTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW CAC-II
Contact information
Practice address
125 E SOUTHERN AVENUE, MUSKEGON, MI 49442
(231) 724-3699
(231) 724-3659
Mailing address
2132 RENEER, MUSKEGON, MI 49441
(231) 759-7224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00419
MI
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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