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Charlize Tae Whitt

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

NPI number1497433486
StatusActive
Last updated in NPPESJul 10, 2023

Details

NPI
1497433486
Entity type
Individual (NPI-1)
Name
Charlize Tae Whitt
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2023
Certification date
Jul 10, 2023
Last updated
Jul 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

100 Malton Rd Ste 8
Negaunee, MI 49866-2002

Phone 906-485-2347

Mailing address

97 S 4th St
Ishpeming, MI 49849-2168

Phone 906-228-9699

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