Organization
BRIDGES OF WEST MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CHITWOOD LLP (OWNER/PSYCHOLOGIST)
(231) 468-2550
Entity
Organization
Contact information
Practice address
2721 SUNNYSIDE DR, CADILLAC, MI 49601-8748
(231) 468-2550
Mailing address
2721 SUNNYSIDE DR, CADILLAC, MI 49601-8748
(231) 468-2550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002628
MI
101YP2500X
Professional Counselor
6401004741
MI
103TC0700X
Clinical Psychologist
6301009040
MI
1041C0700X
Clinical Social Worker
6801060067
MI
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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