Individual provider · Type 1 NPI

Latasha Stanifer-Lumpkin

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1336823657 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Mailing address

4518 Heights Dr
Columbia Heights, MN 55421-3320

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306689 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336823657

Latasha Stanifer-Lumpkin's National Provider Identifier is 1336823657, issued on Jun 15, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Jun 15, 2023.