Individual
DR. JUSTIN RYAN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D, LMFT, CAP
Contact information
Practice address
15835 SW 52ND ST, MIRAMAR, FL 33027-4978
(786) 459-1017
Mailing address
15835 SW 52ND ST, MIRAMAR, FL 33027-4978
(786) 459-1017
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3788
FL
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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