Provider Demographics
NPI:1992074520
Name:STUMP, JAMES A (LMFT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:STUMP
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 W CARSON ST
Mailing Address - Street 2:#136
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3100
Mailing Address - Country:US
Mailing Address - Phone:310-974-2359
Mailing Address - Fax:
Practice Address - Street 1:2370 W CARSON ST
Practice Address - Street 2:#136
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3100
Practice Address - Country:US
Practice Address - Phone:310-974-2359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38605106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist