Individual
MR. BRIAN DANIEL WUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
11111 HALL RD STE 303, UTICA, MI 48317-5726
(586) 997-4956
Mailing address
11111 HALL RD STE 303, UTICA, MI 48317-5726
(586) 997-4956
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
01/05/2011
Last updated
09/12/2013
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