Individual
MR. BRUCE ALBERT HEUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11017 HERRING ST, MARCELLUS, MI 49067-9412
(269) 244-5818
(269) 492-6088
Mailing address
11017 HERRING ST, MARCELLUS, MI 49067-9412
(269) 244-5818
(269) 492-6088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009464
MI
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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