JASON FREDRICK HEUSTED

MILFORD, MI
NPI1265865646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2013-08-20
Last Update Date2013-08-20
Business Address
MR. JASON FREDRICK HEUSTED
120 S MAIN ST SUITE C
MILFORD, MI 48381-1975
Phone number: 248-390-5791
Mailing Address
MR. JASON FREDRICK HEUSTED
13469 BRYSON CT
FENTON, MI 48430-1078
Phone number: 248-762-3340
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