Individual
JUMOI-ANTONIO SHEMAR-DAVID REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC, LLMFT, MA, NCC
Contact information
Practice address
31815 SOUTHFIELD RD STE 18, BEVERLY HILLS, MI 48025-5471
(248) 480-0115
(248) 282-7114
Mailing address
31815 SOUTHFIELD RD STE 18, BEVERLY HILLS, MI 48025-5471
(248) 480-0115
(248) 282-7114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022605
MI
101YP2500X
Professional Counselor
6451022605
MI
106H00000X
Marriage & Family Therapist
4151001077
MI
Other
Enumeration date
10/31/2022
Last updated
10/31/2024
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