Chad Thomas Bousamra in Traverse City - Addiction (substance Use Disorder)
Chad Thomas Bousamra - NPI 1164694030
Chad Thomas Bousamra is a Addiction (substance Use Disorder) in Traverse City, Michigan. Chad Thomas Bousamra practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Chad Thomas Bousamra is 1164694030. The last update date is 2008-03-31.
Chad Thomas Bousamra's current location address is 1105 E Eighth St, Traverse City, Michigan. You can contact this provider via phone number 2319356787 and fax number 2319356920. The mailing address for Chad Thomas Bousamra is 1105 E Eighth St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Thomas Bousamra |
|---|---|
| Address | 1105 E Eighth St, Traverse City, Michigan |
| Phone Number | 2319356787 |
| Fax Number | 2319356920 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1164694030 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 1105 E Eighth St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496862936 |
| Phone Number | 2319356787 |
| Fax Number | 2319356920 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6401010758 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chad Thomas Bousamra by the Centers for Medicare & Medicaid Services?
The Chad Thomas Bousamra has been issued the NPI (National Provider Identifier) 1164694030, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chad Thomas Bousamra's physical address?
The Chad Thomas Bousamra is physically located at 1105 E Eighth St, in the city of Traverse City, MI, with the postal code 496862936.
What is Chad Thomas Bousamra's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chad Thomas Bousamra is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When did Chad Thomas Bousamra receive its 1164694030 assignment?
The Chad Thomas Bousamra was assigned its 1164694030 on 2008-03-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Chad Thomas Bousamra most recently updated or revised?
The information pertaining to Chad Thomas Bousamra, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-31.