Individual provider · Type 1 NPI

Forrest Stumbo

Mental Health Counselor · Auburn, CA

NPI number 1356626485 Active

Practice location

11716 Enterprise Dr
Auburn, CA 95603-3732

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356626485

Forrest Stumbo's National Provider Identifier is 1356626485, issued on Oct 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Auburn, CA. The record was last updated on Oct 20, 2011.