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Individual

DR. MICHAEL GARRET SHUMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1151 N STATE ST, JACKSON, MS 39202-2407
(601) 352-7398
Mailing address
1151 N STATE ST STE 212, JACKSON, MS 39202-2467
(601) 352-7398

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1767
MS
103T00000X
Psychologist
Primary
61-1099
MS

Other

Enumeration date
07/31/2014
Last updated
11/11/2021
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