Doctor Name: | MR. STEPHEN R HONAKER |
NPI Number: | 1477825792 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | MH8483 |
Business Practice Address: | 1482 Villa Juno Dr N Juno Beach, FL - 334082225 |
Business Phone Number: | 5612840277 |
Business Fax Number: | |
Mailing Address: | 1482 Villa Juno Dr N, JUNO BEACH |
State: | FL |
Postal Code: | 334082225 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/01/2012 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |