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Individual

MR. JOHN CARL HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1615 MICHIGAN AVE, BALDWIN, MI 49304
(231) 745-4624
(231) 745-4928
Mailing address
1664 GLEN WOOD RD, LUDINGTON, MI 49431-7633

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42103
SANTA CLARA COUNTY ID #
CA
Enumeration date
02/05/2007
Last updated
10/24/2022
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