Provider Demographics
NPI:1578601811
Name:STOEHR, CATHERINE JEAN (MA, LMHC, CEDS)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:JEAN
Last Name:STOEHR
Suffix:
Gender:F
Credentials:MA, LMHC, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E SYBELIA AVE
Mailing Address - Street 2:STE 165
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4763
Mailing Address - Country:US
Mailing Address - Phone:321-277-5580
Mailing Address - Fax:407-645-4032
Practice Address - Street 1:100 E SYBELIA AVE
Practice Address - Street 2:STE 165
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4763
Practice Address - Country:US
Practice Address - Phone:321-277-5580
Practice Address - Fax:407-645-4032
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5812101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health