Individual provider · Type 1 NPI

Mary Jennifer Stamper, ICADC

Addiction (Substance Use Disorder) Counselor · Lexington, KY

NPI number 1508135955 Active

Practice location

1589 Hill Rise Dr
Lexington, KY 40504-2588

Call (859) 977-2505 Map

Mailing address

313 Lilac Ct
Versailles, KY 40383-9292

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0920 (KY)

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

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About NPI 1508135955

Mary Jennifer Stamper, ICADC's National Provider Identifier is 1508135955, issued on Dec 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington, KY. The record was last updated on Dec 14, 2011.