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NPI Code Detail

MEDICARE: CATHRYN STUECKER LPCC

MEDICARE: CATHRYN STUECKER LPCC
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
1101YM0800XMental Health Counselor0678KY
2101YP2500XProfessional Counselor1176KY
3101YP2500XProfessional Counselor103054KY

Other Identifiers

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

General Provider Information

NPI Number : 1205030657
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHRYN STUECKER LPCC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2550 EASTPOINT PKWY STE 210
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4128
Country : US
Telephone Number : 502-975-2960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 11/06/2025

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