Individual provider · Type 1 NPI
Robert James Bultema, LBSW CAC-II
Addiction (Substance Use Disorder) Counselor · Muskegon, MI
NPI number
1174743264
Active
Practice location
125 E Southern Avenue
Muskegon, MI 49442
Fax (231) 724-3659
Mailing address
2132 Reneer
Muskegon, MI 49441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2-00419 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1174743264
Robert James Bultema, LBSW CAC-II's National Provider Identifier is 1174743264, issued on Apr 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Muskegon, MI. The record was last updated on Jul 8, 2007.