person
Charles William Dodge, PLC
Professional Counselor in Owosso, Michigan
NPI 1295940690

Charles William Dodge is a Professional Counselor based in Owosso, MI and is specialized in Professional. Charles William Dodge practices in Owosso, MI and has the professional credentials of PLC. The NPI Number for Charles William Dodge is 1295940690 and holds a License No. 6401005935 (Michigan).

The current practice location address for Charles William Dodge is 123 S Washington St, Owosso, MI and can be reached out via phone at 989-723-0330 and via fax at 989-723-0327.

Location: 123 S Washington St, Owosso, MI, 48867-2921
person
Provider Profile Details
NPI Number
1295940690
Provider Name
Charles William Dodge
Credential
PLC
Provider Entity Type
Individual
Gender
Male
Address
123 S Washington St, Owosso, MI, 48867-2921
Phone Number
989-723-0330
Fax Number
989-723-0327
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1016541 05 MI
institution
Provider Business Practice Location Address Details
Address
123 S Washington St
City
State
Zip
48867-2921
Phone Number
989-723-0330
Fax Number
989-723-0327
person
Provider Business Mailing Address Details
Address
123 S Washington St
City
State
Zip
48867-2921
Phone Number
989-723-0330
Fax Number
989-723-0327
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6401005935 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401005935 (Michigan)
Definition
Definition to come...
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