Provider Demographics
NPI:1831324631
Name:SPATES, STEFANIE CIARA (LPC)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:CIARA
Last Name:SPATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2884 INDUSTRIAL BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-5000
Mailing Address - Country:US
Mailing Address - Phone:724-255-1718
Mailing Address - Fax:
Practice Address - Street 1:2884 INDUSTRIAL BLVD STE 5
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-5000
Practice Address - Country:US
Practice Address - Phone:724-255-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health