Individual
CHARLES ALEXANDER HUYCK
Active
Individual
CHARLES ALEXANDER HUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-01485
MI
104100000X
Social Worker
6801070632
MI
1041C0700X
Clinical Social Worker
06511
IA
1041C0700X
Clinical Social Worker
Primary
6801-070632
MI
Other
Enumeration date
05/23/2007
Last updated
04/23/2015
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