Doctor Name: | MS. JESSICA R STEFANSKI |
NPI Number: | 1023383171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801093591 |
Business Practice Address: | 825 S Huron St Cheboygan, MI - 497212276 |
Business Phone Number: | 2316275627 |
Business Fax Number: | 2316275435 |
Mailing Address: | 128 Stags Run, HARBOR SPRINGS |
State: | MI |
Postal Code: | 497409549 |
Phone Number: | 2314256291 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801093591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |