Individual
JAY BURR TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
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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