Individual
GLEN MATTHEW STAMPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
5583 MURRAY AVE STE 207, MEMPHIS, TN 38119
(901) 590-2193
Mailing address
5583 MURRAY AVE STE 207, MEMPHIS, TN 38119-0807
(901) 590-2193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3869
TN
101YM0800X
Mental Health Counselor
Primary
3869
TN
Other
Enumeration date
04/18/2017
Last updated
07/18/2018
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