MEDICARE: STEPHANIE ANN HEBERT LMHC

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
1	101YM0800X	Mental Health Counselor	075518	IA

General Provider Information

NPI Number	:	1184094575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANN HEBERT LMHC

Provider Business Mailing Address
First Line	:	1264 DELORIS DR
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50701-3223
Country	:	US
Telephone Number	:	712-539-1086
Fax Number	:

Provider Business Practice Location Address
First Line	:	4521 CHADWICK RD STE 2
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8045
Country	:	US
Telephone Number	:	319-239-3533
Fax Number	:	888-972-4788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	07/21/2022

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Directions to “ STEPHANIE ANN HEBERT LMHC” Practice Location

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