Individual
JONATHAN D SHUMEYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
901 WASHINGTON AVE, STE. 100, PORTLAND, ME 04103-2737
(207) 907-9545
Mailing address
30 OLIVER ST, BATH, ME 04530-2827
(207) 907-9545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4427
ME
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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