person
Chanon Sethabutra, LLPC
Professional Counselor in Midland, Michigan
NPI 1598483695

Chanon Sethabutra is a Professional Counselor based in Midland, MI and is specialized in Professional. Chanon Sethabutra practices in Midland, MI and has the professional credentials of LLPC. The NPI Number for Chanon Sethabutra is 1598483695 and holds a License No. 6451022184 (Michigan).

The current practice location address for Chanon Sethabutra is 720 W Wackerly St Ste 11, Midland, MI and can be reached out via phone at 989-835-2165 and via fax at 989-839-4376.

Location: 720 W Wackerly St Ste 11, Midland, MI, 48640-2769
person
Provider Profile Details
NPI Number
1598483695
Provider Name
Chanon Sethabutra
Credential
LLPC
Provider Entity Type
Individual
Gender
Male
Address
720 W Wackerly St Ste 11, Midland, MI, 48640-2769
Phone Number
989-835-2165
Fax Number
989-839-4376
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6451022184 01 MI STATE OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
720 W Wackerly St Ste 11
City
State
Zip
48640-2769
Phone Number
989-835-2165
Fax Number
989-839-4376
person
Provider Business Mailing Address Details
Address
720 W Wackerly St Ste 11
City
State
Zip
48640-2769
Phone Number
989-835-2165
Fax Number
989-839-4376
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6451022184 (Michigan)
Definition
Definition to come...
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