Individual provider · Type 1 NPI

Mary Jo Bumstead, MFTI

Mental Health Counselor · Santa Cruz, CA

NPI number 1295010759 Active

Practice location

530 Soquel Ave
Santa Cruz, CA 95062-2301

Mailing address

14938 Camden Ave # 44
San Jose, CA 95124-2801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295010759

Mary Jo Bumstead, MFTI's National Provider Identifier is 1295010759, issued on Oct 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Apr 30, 2013.