MEDICARE: AARON JACOB STAMPER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	20638A	NC

General Provider Information

NPI Number	:	1013881218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON JACOB STAMPER

Provider Business Mailing Address
First Line	:	316 MCDOWELL DR
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-2572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 CAPCOM AVE STE 101
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6585
Country	:	US
Telephone Number	:	919-551-7222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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Directions to “ AARON JACOB STAMPER ” Practice Location

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