Individual
SUSAN STUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1416 S LAKE DR, PRESTONSBURG, KY 41653-1353
(606) 886-7839
(606) 886-9469
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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