Individual
ASHLEY STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCA1
Contact information
Practice address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
(502) 222-2389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
281747
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
281747
KY
101YM0800X
Mental Health Counselor
281747
KY
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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