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Individual

CRAIG M CHITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LLP, LPC

Contact information

Practice address
714 MAIN ST, BATTLE CREEK, MI 49014-4568
(269) 979-3881
(269) 979-2841
Mailing address
1340 N EAGLE LAKE DR, KALAMAZOO, MI 49009-8430
(269) 598-4098

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401008151
MI
103T00000X
Psychologist
Primary
6301011813
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301011813
LLP LICENSE
MI
01
6401008151
COUNSELOR LICENSE
MI
Enumeration date
06/09/2006
Last updated
04/25/2011
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