Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD THOMAS BOUSAMRA, M.A.
Active Sole ProprietorCHAD THOMAS BOUSAMRA, M.A. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in TRAVERSE CITY, Michigan. NPI 1164694030 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1164694030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2008 (18.354076667793 yrs)
- Last Updated
- Mar 31, 2008
- License
-
6401010758 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1105 E EIGHTH STTRAVERSE CITY, MI, 496862936Browse MI providers · Browse ZIP 49686
- Phone
- 2319356787
- Fax
- 2319356920
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KATHRYN LOUISE MARTIN | MA, LPC, CAC II | 1760531271 |
| MS. PATRICIA ANNE SHARROW | MA, CAC II | 1336352988 |
| MRS. SALLIE MAE KREPPS | CAC1 | 1861687915 |
| MRS. SUS M. KRAEMER | MSW,LMSW,CAAC | 1932395779 |
| MR. LARRY JAMES HALL | CAC-1 | 1265628499 |
| LOIS SMITS | MA, CTRA, CAC 1 | 1538356449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.