Individual
MR. CRAIG ALAN BULTSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
3886 CASS RD, TRAVERSE CITY, MI 49684-8878
(231) 995-0870
Mailing address
BETHANY CHRISTIAN SERVICES, 3886 CASS RD., TRAVERSE CITY, MI 49684
(231) 995-0870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401001806
MI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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