Individual
LANCE JEREMY STUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
600 1ST AVE, PERRY, IA 50220-1803
(515) 232-2640
(515) 233-2129
Mailing address
3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
(515) 232-2640
(515) 233-2129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000329
IA
Other
Enumeration date
01/10/2011
Last updated
10/16/2013
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