NPI 1417260928

Roscoe H Stamper

Practitioner Addiction (Substance Use Disorder) Counselor Jackson, KY

Practice location

Address: 3830 Highway 15 S, Jackson, KY 41339-8675
Phone: (606) 436-5761
Fax: (606) 436-5797

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1417260928
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2010
Record last updated: 26 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.