Individual
MR. DOUGLAS WILLIAM BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LLPC
Contact information
Practice address
6692 SPRING ARBOR RD, JACKSON, MI 49201-9322
(517) 750-3869
Mailing address
2751 DEARING RD, SPRING ARBOR, MI 49283-9781
(517) 812-4527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022582
MI
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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