Individual
TERRY LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 COLONIE ST, ALBANY, NY 12210-2502
(518) 434-4564
Mailing address
244 COLONIE ST, ALBANY, NY 12210-2502
(518) 434-4564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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