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NPI Code Detail

MEDICARE: MRS. MUFFY MARIE STEWART LPCC-S

MEDICARE: MRS. MUFFY MARIE STEWART LPCC-S
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorE.0500365-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902992688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MUFFY MARIE STEWART LPCC-S
Provider Business Mailing Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-709-0245
Fax Number :
Provider Business Practice Location Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-709-0245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 06/06/2025

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