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NPI Code Detail

MEDICARE: HEATHER STEIN MS

MEDICARE:   HEATHER  STEIN  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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1659752962
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER STEIN MS
Provider Business Mailing Address
First Line : 5948 LITTLESTONE CT
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-4925
Country : US
Telephone Number : 239-243-4836
Fax Number :
Provider Business Practice Location Address
First Line : 12424 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5680
Country : US
Telephone Number : 239-332-8009
Fax Number : 239-332-4977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 06/11/2015

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Directions to “ HEATHER STEIN MS” Practice Location

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