Individual provider · Type 1 NPI

Chad Thomas Bousamra, M.A.

Addiction (Substance Use Disorder) Counselor · Traverse City, MI

NPI number 1164694030 Active

Practice location

1105 E Eighth St
Traverse City, MI 49686-2936

Call (231) 935-6787 Map

Fax (231) 935-6920

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6401010758 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164694030

Chad Thomas Bousamra, M.A.'s National Provider Identifier is 1164694030, issued on Mar 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Traverse City, MI. The record was last updated on Mar 31, 2008.