Doctor Name: | CHRISTOPHER HUGH BIGELOW |
NPI Number: | 1154603991 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LLPC |
License Number: | 6401012676 |
Business Practice Address: | 395 3rd St Manistee, MI - 496601718 |
Business Phone Number: | 8773982013 |
Business Fax Number: | |
Mailing Address: | 310 Glocheski Dr, Po Box 335 MANISTEE |
State: | MI |
Postal Code: | 496602639 |
Phone Number: | 8773982013 |
Fax Number: | 2317231504 |
NPI Enumeration Date: | 09/19/2011 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401012676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |