Individual
MICHAEL SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 428-2944
Mailing address
1647 S 82ND PL, MESA, AZ 85209-5459
(602) 832-1386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23195
AZ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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