Healthcare Provider Details

I. General information

NPI: 1720595887
Provider Name (Legal Business Name): JULIE LYNN STEGMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SOUTH BLVD W STE 200
ROCHESTER HILLS MI
48307-5184
US

IV. Provider business mailing address

1169 AUGUSTA DR
TROY MI
48085-6127
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-6234
  • Fax: 248-844-6237
Mailing address:
  • Phone: 248-701-7834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401005618
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: