Individual
JAMIE MICHELLE STUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
543 TERRY LN, SUITE # 2, CRESCENT SPRINGS, KY 41017-1668
(859) 331-1796
(859) 331-1819
Mailing address
543 TERRY LN, SUITE # 2, CRESCENT SPRINGS, KY 41017-1668
(859) 331-1796
(859) 331-1819
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105551
KY
106H00000X
Marriage & Family Therapist
KY-0623
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100297820
—
KY
Enumeration date
02/23/2007
Last updated
06/01/2016
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