Doctor Name: | DEBORAH STELMACH |
NPI Number: | 1013326651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 16375-130 |
Business Practice Address: | 444 Main St Ste 301 La Crosse, WI - 546014099 |
Business Phone Number: | 6085195906 |
Business Fax Number: | 6085195908 |
Mailing Address: | 21836 Only Ave, ALTURA |
State: | MN |
Postal Code: | 559104107 |
Phone Number: | 6085195906 |
Fax Number: | 6085195908 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 16375-130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |