Individual
MR. CASPER T WURTSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAADC
Contact information
Practice address
318 E MITCHELL ST, SUITE #2, PETOSKEY, MI 49770-2616
(231) 838-8976
Mailing address
1325 CRESTVIEW DR, UNIT 37, PETOSKEY, MI 49770-9286
(231) 838-8976
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011588
MI
Other
Enumeration date
12/10/2009
Last updated
11/01/2013
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