Individual
ALEX BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A, LCAS-A
Contact information
Practice address
9 SHEPPARD BRANCH RD, WEAVERVILLE, NC 28787-9506
(919) 457-3636
Mailing address
PO BOX 2083, SKYLAND, NC 28776-2083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29181
NC
101YM0800X
Mental Health Counselor
Primary
P019218
NC
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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