Individual
MIRIAM SHUMULINSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40000 GRAND RIVER AVE, NOVI, MI 48375-2121
(439) 773-4444
Mailing address
16950 NEW HAMPSHIRE DR, SOUTHFIELD, MI 48075-2905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018821
MI
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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