Individual
BEATRICE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
111 W OLD COUNTRY RD, SUITE 2 B, HICKSVILLE, NY 11801-4003
(516) 433-6069
(516) 433-6245
Mailing address
111 W OLD COUNTRY RD, SUITE 2 B, HICKSVILLE, NY 11801-4003
(516) 433-6069
(516) 433-6245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4912
NY
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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