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General NPI Number Information
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NPI Number | 1457982498
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Entity Type | Individual
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Provider Name | DARSEY STUMP LPCC-S, LICDC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 422 W LOVELAND AVE
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City | LOVELAND
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State | OH
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Zip | 45140-2322
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Country | US
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Telephone | 513-334-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 5142 PROVIDENCE RIDGE DR
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City | LIBERTY TWP
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State | OH
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Zip | 45011-9155
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Country | US
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Telephone | 910-650-8675
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 39004729A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161919
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2102642-SUPV
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License Number State | OH
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