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NPI Code Detail

MEDICARE: NATALEE MARIE STEWART

MEDICARE:   NATALEE MARIE STEWART
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 : 1740912526
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALEE MARIE STEWART
Provider Business Mailing Address
First Line : 646 W MARTIN ST
Second Line :
City : EAST PALESTINE
State : OH
Zip : 44413-1622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1062 CLEVELAND ST
Second Line :
City : SALEM
State : OH
Zip : 44460-2216
Country : US
Telephone Number : 234-575-1427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/29/2022

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