Individual
MR. JAMES EUGENE BRUNDIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Mailing address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401011742
MI
101YP2500X
Professional Counselor
Primary
6301006277
MI
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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