Individual provider · Type 1 NPI

Kenneth Shine Heuvelman, LPC, CAADC, CCS

Mental Health Counselor · Port Huron, MI

NPI number 1982123006 Active

Practice location

520 Superior St
Port Huron, MI 48060-3838

Mailing address

3479 Minnie Dr
Lakeport, MI 48059-1948

Other practice locations

  • 3479 Minnie Dr, Lakeport, MI 48059-1948 · (810) 637-1123

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC-03596 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XBBH-LAC-LIC-24075 (MT)
Mental Health Counselor 101YM0800X6451022467 (MI)
Mental Health Counselor Primary 101YM0800X6401225382 (MI)

Mental Health Counselor: Definition to come...

91 other providers at this address

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About NPI 1982123006

Kenneth Shine Heuvelman, LPC, CAADC, CCS's National Provider Identifier is 1982123006, issued on Sep 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Huron, MI. The record was last updated on Aug 4, 2025.