Individual
JONATHAN MICHAEL CUGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
22238 HARLAN DR, GROSSE ILE, MI 48138-1476
(734) 558-6331
Mailing address
22238 HARLAN DR, GROSSE ILE, MI 48138-1476
(734) 558-6331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801098774
MI
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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