Provider Demographics
NPI:1689802449
Name:FURGIUELE, STEPHANIE MARIE (LPCC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE
Last Name:FURGIUELE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 ORCHARD HILL DR SW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4153
Mailing Address - Country:US
Mailing Address - Phone:330-495-7489
Mailing Address - Fax:330-495-7489
Practice Address - Street 1:1303 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-2858
Practice Address - Country:US
Practice Address - Phone:330-966-8677
Practice Address - Fax:330-966-8677
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0001897101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE-0001897OtherSTATE OF OHIO COUNSELOR & SOCIAL WORKER BOARD