Individual
DEAN C COSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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