Provider Demographics
NPI:1215965785
Name:HADLEY, STEWART THOMAS JR (BS, CAC-I)
Entity type:Individual
Prefix:MR
First Name:STEWART
Middle Name:THOMAS
Last Name:HADLEY
Suffix:JR
Gender:M
Credentials:BS, CAC-I
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:507A N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1629
Mailing Address - Country:US
Mailing Address - Phone:989-400-1416
Mailing Address - Fax:989-779-2922
Practice Address - Street 1:218 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2514
Practice Address - Country:US
Practice Address - Phone:989-779-9449
Practice Address - Fax:989-779-2922
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-04179101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)