Individual
JEREMY RYAN BILDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
928 S GARFIELD AVE STE 3A, TRAVERSE CITY, MI 49686-2403
(231) 392-4638
Mailing address
4316 5 MILE RD, WILLIAMSBURG, MI 49690-9317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017749
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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