Individual
JASON G STENTOUMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3945 OKEMOS RD STE B2, OKEMOS, MI 48864-4210
(517) 999-3935
(517) 798-5668
Mailing address
3945 OKEMOS RD STE B2, OKEMOS, MI 48864-4210
(517) 999-3935
(517) 798-5668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C315670
BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/19/2007
Last updated
10/08/2025
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