Provider Demographics
NPI:1124998521
Name:DRUMMOND, JEEHOON (LLC)
Entity type:Individual
Prefix:MS
First Name:JEEHOON
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:LLC
Other - Prefix:MS
Other - First Name:JEY
Other - Middle Name:
Other - Last Name:DRUMMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLC
Mailing Address - Street 1:5149 POINTE DR
Mailing Address - Street 2:
Mailing Address - City:EAST CHINA
Mailing Address - State:MI
Mailing Address - Zip Code:48054-4157
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3115 LAPEER RD STE A
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-7309
Practice Address - Country:US
Practice Address - Phone:810-637-1183
Practice Address - Fax:810-637-1183
Is Sole Proprietor?:No
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024286101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health