MATTHEW CONWAY BUMPASS

LOS ANGELES, CA
NPI1326423518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
Mr. MATTHEW CONWAY BUMPASS
450 BAUCHET ST.
LOS ANGELES, CA 90012
Phone number: 213-893-5091
Mailing Address
Mr. MATTHEW CONWAY BUMPASS
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 213-893-5091