Individual provider · Type 1 NPI

Matthew Conway Bumpass

Mental Health Counselor · Los Angeles, CA

NPI number 1326423518 Active

Practice location

450 Bauchet St.
Los Angeles, CA 90012

Call (213) 893-5091 Map

Fax (213) 972-4012

Mailing address

450 Bauchet St
Los Angeles, CA 90012-2907

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326423518

Matthew Conway Bumpass's National Provider Identifier is 1326423518, issued on Jul 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 29, 2015.