Individual
CHRISTIAN B BUMPOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
210 25TH AVE N, NASHVILLE, TN 37203-1606
(615) 544-7060
Mailing address
798 COTTAGE PARK DR, NASHVILLE, TN 37207-2617
(615) 544-7060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14315
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14315
TX
101YM0800X
Mental Health Counselor
80132
TX
106H00000X
Marriage & Family Therapist
Primary
1939
TN
106H00000X
Marriage & Family Therapist
203249
TX
Other
Enumeration date
03/27/2018
Last updated
01/15/2022
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