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NPI Code Detail

MEDICARE: KATE STIFTER

MEDICARE:   KATE  STIFTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor92080TX

General Provider Information

NPI Number : 1093666786
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE STIFTER
Provider Business Mailing Address
First Line : 3964 WATERCOURSE DR APT 1225
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-2069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 RIVERFRONT DR STE 108
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6560
Country : US
Telephone Number : 949-648-3816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 04/08/2026

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Directions to “ KATE STIFTER ” Practice Location

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