| Bouse Therapy Services | |
|
202 E Washington St Ste 508 Ann Arbor MI 48104-2017 | |
| (734) 999-0013 | |
| Not Available |
| Full Name | Bouse Therapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 202 E Washington St Ste 508, Ann Arbor, Michigan |
| Authorized Official Name and Position | Matthew Maximino Bouse (OWNER) |
| Authorized Official Contact | 7349990013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouse Therapy Services 202 E Washington St Ste 508 Ann Arbor MI 48104-2017 Ph: (734) 999-0013 | Bouse Therapy Services 202 E Washington St Ste 508 Ann Arbor MI 48104-2017 Ph: (734) 999-0013 |
| NPI Number | 1285489112 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285489112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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