Individual
SEAN KEITH CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Mailing address
1345 BIRCH AVE, P.O. BOX 5, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
07/27/2016
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