Individual provider · Type 1 NPI

Ashley Stump, CADCA1

Counselor · Buckner, KY

NPI number 1104539055 Active

Practice location

4414 Old Lagrange Rd
Buckner, KY 40010-9547

Mailing address

PO Box 1484
Crestwood, KY 40014-1484

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X281747 (KY)
Mental Health Counselor 101YM0800X281747 (KY)
Counselor Primary 101Y00000X281747 (KY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104539055

Ashley Stump, CADCA1's National Provider Identifier is 1104539055, issued on Jan 5, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buckner, KY. The record was last updated on Jan 5, 2023.