Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C.1801594 | OH |
NPI | 1003389966 |
---|---|
Provider Name | Megan Stumpff |
First Address | Troy, OH 45373-3047 |
Second Address | Troy, OH 45373-3047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2019 |
Last Update Date | 03/01/2019 |