person
Chad Thomas Bousamra, MA
Addiction (Substance Use Disorder) Counselor in Traverse City, Michigan
NPI 1164694030

Chad Thomas Bousamra is an Addiction (Substance Use Disorder) Counselor based in Traverse City, MI and is specialized in Addiction (Substance Use Disorder). Chad Thomas Bousamra practices in Traverse City, MI and has the professional credentials of MA. The NPI Number for Chad Thomas Bousamra is 1164694030 and holds a License No. 6401010758 (Michigan).

The current practice location address for Chad Thomas Bousamra is 1105 E Eighth St, Traverse City, MI and can be reached out via phone at 231-935-6787 and via fax at 231-935-6920.

Location: 1105 E Eighth St, Traverse City, MI, 49686-2936
person
Provider Profile Details
NPI Number
1164694030
Provider Name
Chad Thomas Bousamra
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1105 E Eighth St, Traverse City, MI, 49686-2936
Phone Number
231-935-6787
Fax Number
231-935-6920
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1105 E Eighth St
City
State
Zip
49686-2936
Phone Number
231-935-6787
Fax Number
231-935-6920
person
Provider Business Mailing Address Details
Address
1105 E Eighth St
City
State
Zip
49686-2936
Phone Number
231-935-6787
Fax Number
231-935-6920
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6401010758 (Michigan)
Definition
Definition to come...
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