Healthcare Provider Details

I. General information

NPI: 1124998521
Provider Name (Legal Business Name): JEEHOON DRUMMOND LLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEY DRUMMOND LLC

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 LAPEER RD STE A
PORT HURON MI
48060-7309
US

IV. Provider business mailing address

5149 POINTE DR
EAST CHINA MI
48054-4157
US

V. Phone/Fax

Practice location:
  • Phone: 810-637-1183
  • Fax: 810-637-1183
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024286
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024286
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: