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1124998521 NPI number — JEEHOON DRUMMOND LLC

NPI Number: 1124998521
Health Care Provider/Practitioner: JEEHOON DRUMMOND LLC

Information about “1124998521” NPI (JEEHOON DRUMMOND LLC) exists in 1124998521 in HTML format HTML  |  1124998521 in plain Text format TXT  |  1124998521 in PDF (Portable Document Format) PDF  |  1124998521 in an XML format XML  formats.

NPI Number : 1124998521 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124998521",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DRUMMOND",
    "FirstName": "JEEHOON",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DRUMMOND",
    "OtherFirstName": "JEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LLC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5149 POINTE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST CHINA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48054-4157",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3115 LAPEER RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT HURON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48060-7309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "810-637-1183",
    "PracticeLocationAddressFaxNumber": "810-637-1183",
    "EnumerationDate": "11/10/2025",
    "LastUpdateDate": "11/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "6451024286",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "6451024286",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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