Individual
MS. MARY ANN SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LICENSED PROFESS
Contact information
Practice address
2976 IVANREST, SUITE 205, GRANDVILLE, MI 49418-1440
(616) 690-0500
(616) 261-3047
Mailing address
1693 SLATER AVE, DORR, MI 49323-9332
(616) 681-2737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
563928
VALUE OPTIONS
—
01
—
SHUMA0003
COMPREHENSIVE BEHAVIORAL
—
Enumeration date
04/12/2007
Last updated
07/08/2007
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