Healthcare Provider Details

I. General information

NPI: 1598047540
Provider Name (Legal Business Name): JANET ALYCE STIVER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35053 37TH AVE S
AUBURN WA
98001-9051
US

IV. Provider business mailing address

35053 37TH AVE S
AUBURN WA
98001-9051
US

V. Phone/Fax

Practice location:
  • Phone: 253-441-7422
  • Fax:
Mailing address:
  • Phone: 253-441-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP60027735
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60524301
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: