Organization
KRISTEN HUSTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN NICOLE HUSTED PHD (OWNER)
(248) 499-9852
Entity
Organization
Contact information
Practice address
4500 ASCOT CT, OAKLAND TOWNSHIP, MI 48306-4720
(248) 499-9852
Mailing address
4500 ASCOT CT, OAKLAND TOWNSHIP, MI 48306-4720
(248) 499-9852
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801086548
MI
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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