Individual
DARSEY STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
422 W LOVELAND AVE, LOVELAND, OH 45140-2322
(513) 334-7272
Mailing address
5142 PROVIDENCE RIDGE DR, LIBERTY TWP, OH 45011-9155
(910) 650-8675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39004729A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161919
OH
101YM0800X
Mental Health Counselor
Primary
E.2102642-SUPV
OH
Other
Enumeration date
01/29/2020
Last updated
03/22/2024
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