Individual provider · Type 1 NPI

Edmund Jason Stamper, LPC-MH, QMHP, NCC

Mental Health Counselor · Rapid City, SD

NPI number 1790158558 Active

Practice location

2040 W Main St Ste 311
Rapid City, SD 57702-2447

Call (605) 600-3733 Map

Other practice locations

  • 111 North St, Rapid City, SD 57701-1163 · (605) 343-0650

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC20325 (SD)
Professional Counselor 101YP2500XLPC-MH30513 (SD)
Mental Health Counselor Primary 101YM0800XLPC-MH30513 (SD)

Mental Health Counselor: Definition to come...

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About NPI 1790158558

Edmund Jason Stamper, LPC-MH, QMHP, NCC's National Provider Identifier is 1790158558, issued on Nov 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rapid City, SD. The record was last updated on Apr 7, 2022.