Provider Demographics
NPI:1780670653
Name:STUEHM, MICHAEL H (LCPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:STUEHM
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-0044
Mailing Address - Country:US
Mailing Address - Phone:406-538-7483
Mailing Address - Fax:406-538-7491
Practice Address - Street 1:212 WENDELL AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2297
Practice Address - Country:US
Practice Address - Phone:406-538-7483
Practice Address - Fax:406-538-7491
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT49LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT75411OtherBLUE CROSS BLUE SHIELD