Individual provider · Type 1 NPI
Jeffrey Sumpolec, M.A. LPC
Professional Counselor · Canyon Country, CA
NPI number
1164569018
Active
Practice location
18333 Dolan Way Ste 205
Canyon Country, CA 91387-5423
Mailing address
18565 Soledad Canyon Rd Ste 302
Canyon Country, CA 91351-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor | 101YP2500X | 0701003590 (VA) |
| Professional Counselor Primary | 101YP2500X | LPCC9308 (CA) |
Professional Counselor: Definition to come...
About NPI 1164569018
Jeffrey Sumpolec, M.A. LPC's National Provider Identifier is 1164569018, issued on Jan 31, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canyon Country, CA. The record was last updated on Jan 12, 2024.