MEDICARE: MRS. STEPHANIE ELLEN MCDONALD MA, LMHC

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	LH 60421717	WA

General Provider Information

NPI Number	:	1487964268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE ELLEN MCDONALD MA, LMHC

Provider Business Mailing Address
First Line	:	701 HARRISON AVE # 442
Second Line	:
City	:	BLAINE
State	:	WA
Zip	:	98230-9998
Country	:	US
Telephone Number	:	360-218-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 N COMMERCIAL ST STE 940
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4590
Country	:	US
Telephone Number	:	360-218-4555
Fax Number	:

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

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	12/04/2023

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