Chad Thomas Bousamra, M.A. is an addiction (substance use disorder) counselor in Traverse City, MI. Chad Thomas Bousamra, M.A. NPI is 1164694030. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1105 E EIGHTH ST
TRAVERSE CITY, MI
ZIP 49686-936
Phone: (231) 935-6787
Fax: (231) 935-6920
The NPI 1164694030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 3/31/2008 and was last updated on 3/31/2008.