Individual
MICHAEL MUDGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3800 HERITAGE AVE STE A2, OKEMOS, MI 48864-2871
(616) 238-6206
Mailing address
4123 OKEMOS RD, STE 14, OKEMOS, MI 48864-2818
(616) 238-6206
(517) 347-9622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009279
MI
Other
Enumeration date
12/03/2013
Last updated
05/03/2024
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