Healthcare Provider Details

I. General information

NPI: 1841540333
Provider Name (Legal Business Name): SEMAJ DUNSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SEMAJ GORMAN LPC

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 04/10/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20500 EUREKA RD STE 200
TAYLOR MI
48180-6394
US

IV. Provider business mailing address

20500 EUREKA RD STE 200
TAYLOR MI
48180-6394
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-3732
  • Fax: 517-882-3633
Mailing address:
  • Phone: 517-882-3732
  • Fax: 517-882-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401017690
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: