Doctor Name: | MR. JAMES PATRICK STEWART |
NPI Number: | 1093859274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC,LMFT,NCC |
License Number: | 890 |
Business Practice Address: | 4 W Main St Brevard, NC - 287123634 |
Business Phone Number: | 5042891753 |
Business Fax Number: | |
Mailing Address: | 29 Eastview Dr, BREVARD |
State: | NC |
Postal Code: | 287123501 |
Phone Number: | 8288835515 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 890 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |