Organization
DR KUKUK & DR HAUBOLD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS HAUBOLD PHD (CORPORATION PRESIDENT)
(231) 947-7082
Entity
Organization
Contact information
Practice address
1139 E FRONT ST, TRAVERSE CITY, MI 49686
(231) 947-7082
(231) 947-1911
Mailing address
3045 OJIBWA TRAIL, TRAVERSE CITY, MI 49686
(231) 947-7082
(231) 947-1911
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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