| Jordan Cusumano, Lmsw, Llc | |
|
8063 Challis Rd Brighton MI 48116-7446 | |
| (734) 489-1518 | |
| Not Available |
| Full Name | Jordan Cusumano, Lmsw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8063 Challis Rd, Brighton, Michigan |
| Authorized Official Name and Position | Jordan Cusumano (OWNER) |
| Authorized Official Contact | 7344891518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Cusumano, Lmsw, Llc 328 Higgins St Howell MI 48843-1835 Ph: (313) 174-3317 | Jordan Cusumano, Lmsw, Llc 8063 Challis Rd Brighton MI 48116-7446 Ph: (734) 489-1518 |
| NPI Number | 1437735610 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437735610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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