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Individual

IAN STUMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1018 IRWINS CHOICE, BEL AIR, MD 21014-2531
(443) 528-6025
Mailing address
1018 IRWINS CHOICE, BEL AIR, MD 21014-2531
(443) 528-6025

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10955
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14690916
CAQH PROVIDER ID
MD
Enumeration date
11/02/2020
Last updated
11/02/2020
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