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General NPI Number Information
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NPI Number | 1770720195
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Entity Type | Individual
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Provider Name | JO ANNA STEWART LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 820 PACIFIC AVE SUITE 201
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City | BREMERTON
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State | WA
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Zip | 98337
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Country | US
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Telephone | 360-620-3722
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Fax | 855-210-4508
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Provider Business Mailing Address
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Address Line | PO BOX 995 1125 BETHEL AVENUE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-1900
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Country | US
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Telephone | 360-620-3722
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Fax | 360-443-4200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60184226
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RC00056611
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License Number State | WA
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