Individual
NICOLE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
22214 D ST, SUITE 106, WINFIELD, KS 67156-7376
(620) 221-9664
Mailing address
2955 SW WANAMAKER DR STE B, TOPEKA, KS 66614-5341
(785) 221-2755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00850
KS
1041C0700X
Clinical Social Worker
2021003639
MO
1041C0700X
Clinical Social Worker
Primary
5006
KS
Other
Enumeration date
01/12/2014
Last updated
10/15/2024
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