Jonathan Michael Cugini, LMSW
Individual provider Active NPI Mental Health Counselor · Grosse Ile, MI
NPI 1073018339 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1073018339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6801098774 (MI)
- Practice address
- 22238 Harlan Dr
Grosse Ile, MI 48138-1476 - Phone
- (734) 558-6331
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098774 | MI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801098774 | MI | Yes |
Addresses
Primary practice location
22238 Harlan Dr
Grosse Ile, MI 48138-1476
Mailing address
22238 Harlan Dr
Grosse Ile, MI 48138-1476
Phone (734) 558-6331
Other providers in Grosse Ile, MI
- Madison Catherine Champnella
- Collective Mind
- Community Renovations Inc.
- Crawford Chiropractic Clinic PLLC
- Christine Jennifer Crawford
- Sheryl A Czopek
- Dayo Sudiyah Davis
- Kira Lynn Derupa
- Downriver Clinic PC
- Downriver Clinic PC
All providers in Grosse Ile, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.