Individual
DOUGLAS SCOTT BIENIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3785 VETERANS DR, TRAVERSE CITY, MI 49684-4516
(231) 946-8975
Mailing address
3785 VETERANS DR, TRAVERSE CITY, MI 49684-4516
(231) 946-8975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012409
MI
Other
Enumeration date
12/22/2009
Last updated
08/04/2011
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