Individual provider · Type 1 NPI

Jason Fredrick Heusted

Addiction (Substance Use Disorder) Counselor · Milford, MI

NPI number 1265865646 Active

Practice location

120 S Main St, Suite C
Milford, MI 48381-1975

Mailing address

13469 Bryson Ct
Fenton, MI 48430-1078

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1265865646

Jason Fredrick Heusted's National Provider Identifier is 1265865646, issued on Aug 20, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milford, MI. The record was last updated on Aug 20, 2013.