NPI | 1639593403 |
---|---|
Former Name | TERRY LEE LUMPKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-02-13 |
Last Update Date | 2014-02-13 |