Individual
GERRIT BURSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASUDC
Contact information
Practice address
8199 S ROOSEVELT ST, MIDVALE, UT 84047-7528
(616) 477-4494
Mailing address
8199 S ROOSEVELT ST, MIDVALE, UT 84047-7528
(616) 477-4494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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