Individual
JESSICA BUNGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 WOODLAND DR, SANDUSKY, MI 48471-1047
(810) 878-5050
Mailing address
PO BOX 225, PECK, MI 48466-0225
(810) 404-9772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022166
MI
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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