Provider Demographics
NPI:1952783128
Name:STUBBS, RONALD C II (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:C
Last Name:STUBBS
Suffix:II
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 1:600 5TH ST STE 304
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6072
Mailing Address - Country:US
Mailing Address - Phone:515-290-0256
Mailing Address - Fax:
Practice Address - Street 1:600 5TH ST STE 304
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6072
Practice Address - Country:US
Practice Address - Phone:515-290-0256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IALMFT00147106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA391877917OtherFEDERAL TAX ID