Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL BOMMARITO, INTERN
Active Sole ProprietorCounselor · JACKSON, MI
Registration Details
- NPI Number
- 1003776238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2025 (0.44178736769876 yrs)
- Last Updated
- Nov 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W WASHINGTON AVE STE 210BJACKSON, MI, 492012160Browse MI providers · Browse ZIP 49201
- Phone
- 5173440913
- Fax
- 5179056007
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL THOMAS MARSHALL | LPC | 1700829900 |
| LAWRENCE MICHAEL ZOLMAN | LPC | 1407938889 |
| ALISON CHRISTINE MILLER MARSHALL | LLPC | 1962666909 |
| MRS. SHIRLEY JO WILSON | LPC | 1780828699 |
| MRS. CARRIE CORLEW-THAYER | LPC, CADC-M, QMHP | 1275767600 |
| MS. SARAH E HAZLETT-WALKOWICZ | LPC | 1366672370 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.