Individual provider · Type 1 NPI

Jeremy Ryan Bilderback, MA, LLPC

Counselor · Traverse City, MI

NPI number 1659903490 Active

Practice location

928 S Garfield Ave Ste 3A
Traverse City, MI 49686-2403

Mailing address

4316 5 Mile Rd
Williamsburg, MI 49690-9317

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401017749

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1659903490

Jeremy Ryan Bilderback, MA, LLPC's National Provider Identifier is 1659903490, issued on Feb 10, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Traverse City, MI. The record was last updated on Feb 10, 2020.