person
Samantha Shump, LPC
Professional Counselor in Grandville, Michigan
NPI 1649805003

Samantha Shump is a Professional Counselor based in Grandville, MI and is specialized in Professional. Samantha Shump practices in Grandville, MI and has the professional credentials of LPC. The NPI Number for Samantha Shump is 1649805003 and holds a License No. 6401014857 (Michigan).

The current practice location address for Samantha Shump is 4370 Chicago Dr Sw # 515, Grandville, MI and can be reached out via phone at 616-287-2283.

Location: 4370 Chicago Dr Sw # 515, Grandville, MI, 49418-1694
person
Provider Profile Details
NPI Number
1649805003
Provider Name
Samantha Shump
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4370 Chicago Dr Sw # 515, Grandville, MI, 49418-1694
Phone Number
616-287-2283
Fax Number
Provider Enumeration Date
03/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401014857 01 MI LPC
institution
Provider Business Practice Location Address Details
Address
4370 Chicago Dr Sw # 515
City
State
Zip
49418-1694
Phone Number
616-287-2283
Fax Number
person
Provider Business Mailing Address Details
Address
4370 Chicago Dr Sw # 515
City
State
Zip
49418-1694
Phone Number
616-287-2283
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401014857 (Michigan)
Definition
Definition to come...
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