Individual
LATASHA STANIFER-LUMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Mailing address
4518 HEIGHTS DR, COLUMBIA HEIGHTS, MN 55421-3320
(612) 807-6309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306689
MN
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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