MEDICARE: ANDREW RAYMOND STEHBERGER MS

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

General Provider Information

NPI Number	:	1134247380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW RAYMOND STEHBERGER MS

Provider Business Mailing Address
First Line	:	2900 WESTBURY LAKE DR APT I
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-2259
Country	:	US
Telephone Number	:	252-258-7641
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 CHURCH ST N
Second Line	:	SUITE 305
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-262-1320
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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