Provider Demographics
NPI:1275156788
Name:RUMBAUGH, JAMES KEYES (LCMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KEYES
Last Name:RUMBAUGH
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3320
Mailing Address - Country:US
Mailing Address - Phone:828-242-8588
Mailing Address - Fax:
Practice Address - Street 1:75 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3320
Practice Address - Country:US
Practice Address - Phone:828-242-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2020-09-16
Deactivation Date:2020-05-21
Deactivation Code:
Reactivation Date:2020-09-16
Provider Licenses
StateLicense IDTaxonomies
NC8543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health