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Charles William Dodge, PLC

Counselor, Addiction (Substance Use Disorder) in Owosso, MI. Individual provider (NPI-1).

NPI number1295940690
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1295940690
Entity type
Individual (NPI-1)
Name
Charles William Dodge
Credential
PLC
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)6401005935MIYes
101YP2500X Counselor, Professional6401005935MI

Practice location

123 S Washington St
Owosso, MI 48867-2921

Phone 989-723-0330 · Fax 989-723-0327

Mailing address

123 S Washington St
Owosso, MI 48867-2921

Phone 989-723-0330 · Fax 989-723-0327

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Other Addiction (Substance Use Disorder) Counselor providers in Owosso, MI

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