Individual
JOSEPH DANTE BOMMARITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROFESSIONAL COUNSEL
Contact information
Practice address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(800) 693-1916
Mailing address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010326
MI
101YP2500X
Professional Counselor
6401010326
MI
Other
Enumeration date
03/12/2008
Last updated
05/06/2019
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