Individual
JAY BURR TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(269) 205-6339
Mailing address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(269) 849-9572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401223138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401223138
PROFESSIONAL COUNSELOR
MI
Enumeration date
12/05/2020
Last updated
04/04/2023
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