Individual
JEFFREY SUMPOLEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPC
Contact information
Practice address
18333 DOLAN WAY STE 205, CANYON COUNTRY, CA 91387-5423
(540) 842-4999
Mailing address
18565 SOLEDAD CANYON RD STE 302, CANYON COUNTRY, CA 91351-3700
(540) 842-4999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003590
VA
101YP2500X
Professional Counselor
Primary
LPCC9308
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/31/2007
Last updated
01/12/2024
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