Doctor Name: | MRS. KATHERINE J. STEBLEN |
NPI Number: | 1093024036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 004428 |
Business Practice Address: | 450 Perinton Hills Office Park Fairport, NY - 144503609 |
Business Phone Number: | 5854195535 |
Business Fax Number: | |
Mailing Address: | 450 Perinton Hills Office Park, FAIRPORT |
State: | NY |
Postal Code: | 144503609 |
Phone Number: | 5854195535 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2010 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 004428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |