CHARLES JACOB HUITEMA

GAYLORD, MI
NPI1114744802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-09-24
Last Update Date2024-09-24
Business Address
CHARLES JACOB HUITEMA
829 W MAIN ST STE C3
GAYLORD, MI 49735-1998
Phone number: 989-732-6761
Mailing Address
CHARLES JACOB HUITEMA
1181 NUS23
EAST TAWAS, MI 48730
Phone number: 989-260-2903
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