Provider Demographics
NPI:1417358524
Name:GARNEAUX, STEPHANIE (LPC, CADC3, CCTP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:GARNEAUX
Suffix:
Gender:F
Credentials:LPC, CADC3, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9030 35TH AVE SW STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3821
Mailing Address - Country:US
Mailing Address - Phone:971-291-0579
Mailing Address - Fax:503-506-0618
Practice Address - Street 1:5933 NE WIN SIVERS DR STE 238
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-9093
Practice Address - Country:US
Practice Address - Phone:971-291-0579
Practice Address - Fax:503-506-0618
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)