Cusumano, Michele Dominique

Cusumano, Michele Dominique is an individual health care provider with primary practice located at 445 K St , Crescent City CA 95531-4107. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cusumano, Michele Dominique can be contacted via phone (707) 464-7224.

Contact Information

Primary practice address
445 K St Crescent City CA 95531-4107
Phone: (707) 464-7224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1548995483
LBN Legal business name Cusumano, Michele Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers