CHAD THOMAS BOUSAMRA

TRAVERSE CITY, MI
NPI1164694030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  6401010758)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
-- CHAD THOMAS BOUSAMRA M.A.
1105 E EIGHTH ST
TRAVERSE CITY, MI 49686-2936
Phone number: 231-935-6787
Mailing Address
-- CHAD THOMAS BOUSAMRA M.A.
1105 E EIGHTH ST
TRAVERSE CITY, MI 49686-2936
Phone number: 231-935-6787
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