Individual
MR. JARRETT STEVEN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
677 E. MAIN ST., CENTREVILLE, MI 49032
(269) 467-1921
(269) 979-7766
Mailing address
677 E. MAIN ST., CENTREVILLE, MI 49032
(269) 467-1921
(269) 979-7766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015049
LICENSE #
MI
Enumeration date
03/02/2012
Last updated
11/17/2022
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