MEDICARE: AUNDREA J. STEDMAN BA, TO

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	E2606861	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1982934469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUNDREA J. STEDMAN BA, TO

Provider Business Mailing Address
First Line	:	4641 FULTON DR NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2384
Country	:	US
Telephone Number	:	330-433-6075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 SCHNEIDER ST NE
Second Line	:	DOOR 6
City	:	CANTON
State	:	OH
Zip	:	44721-3349
Country	:	US
Telephone Number	:	330-470-4061
Fax Number	:

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

Provider Enumeration Date	:	01/06/2010
Last Update Date	:	04/09/2026

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