Individual
MR. JOHNATHAN MILES SUMPTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MA, LPC
Contact information
Practice address
2300 VALLEY VIEW LANE, IRVING, TX 76052
(682) 777-3988
Mailing address
4003 SEGRAM COURT, ARLINGTON, TX 76016-3330
(806) 463-0068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
69523
TX
101YM0800X
Mental Health Counselor
69523
TX
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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