person
Shelby Jason Kucharek, LLMSW
Addiction (Substance Use Disorder) Counselor in Gaylord, Michigan
NPI 1326733551

Shelby Jason Kucharek is an Addiction (Substance Use Disorder) Counselor based in Gaylord, MI and is specialized in Addiction (Substance Use Disorder). Shelby Jason Kucharek practices in Gaylord, MI and has the professional credentials of LLMSW. The NPI Number for Shelby Jason Kucharek is 1326733551 and holds a License No. 68511160000 (Michigan).

The current practice location address for Shelby Jason Kucharek is 829 W Main St Ste C, Gaylord, MI and can be reached out via phone at 989-732-6761.

Location: 829 W Main St Ste C, Gaylord, MI, 49735-1998
person
Provider Profile Details
NPI Number
1326733551
Provider Name
Shelby Jason Kucharek
Credential
LLMSW
Provider Entity Type
Individual
Gender
Female
Address
829 W Main St Ste C, Gaylord, MI, 49735-1998
Phone Number
989-732-6761
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
829 W Main St Ste C
City
State
Zip
49735-1998
Phone Number
989-732-6761
Fax Number
person
Provider Business Mailing Address Details
Address
829 W Main St Ste C
City
State
Zip
49735-1998
Phone Number
989-732-6761
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
68511160000 (Michigan)
Definition
Definition to come...
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