| Doctor Name: | MS. STEPHANI CARLTON |
| NPI Number: | 1194150722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMCHA, LMFTA |
| License Number: | MC 60393728 |
| Business Practice Address: | 1104 W Ironwood Dr Coeur D Alene, ID - 838142605 |
| Business Phone Number: | 2086761003 |
| Business Fax Number: | |
| Mailing Address: | 1104 W Ironwood Dr, COEUR D ALENE |
| State: | ID |
| Postal Code: | 838142605 |
| Phone Number: | 2086761003 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2013 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | MC 60393728 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |