Individual
CLARENCE KEON BUMPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(719) 632-3570
Mailing address
511 COMANCHE VILLAGE DR, FOUNTAIN, CO 80817-1667
(719) 666-4134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0108216
CO
101YP2500X
Professional Counselor
Primary
LPC.0021021
CO
Other
Enumeration date
09/26/2019
Last updated
03/07/2026
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