Provider Demographics
NPI:1184789257
Name:STOEHR, SALLY MCINTOSH (MA LMFT)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:MCINTOSH
Last Name:STOEHR
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:T
Other - Last Name:MCINTOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:785 ERICKSEN AVE NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1875
Mailing Address - Country:US
Mailing Address - Phone:206-251-0236
Mailing Address - Fax:866-813-2548
Practice Address - Street 1:785 ERICKSEN AVE NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1875
Practice Address - Country:US
Practice Address - Phone:206-251-0236
Practice Address - Fax:866-813-2548
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF0001895101YM0800X
WALF00001895106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist