Individual
SAMANTHA SHUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4370 CHICAGO DR SW # 515, GRANDVILLE, MI 49418-1694
(616) 287-2283
Mailing address
4370 CHICAGO DR SW # 515, GRANDVILLE, MI 49418-1694
(616) 287-2283
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401014857
LPC
MI
Enumeration date
03/06/2020
Last updated
07/21/2022
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