Provider Demographics
NPI:1912609306
Name:STONEHAM, EMILIA RACHEL
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:RACHEL
Last Name:STONEHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 17TH AVE W APT 307
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2295
Mailing Address - Country:US
Mailing Address - Phone:413-695-7858
Mailing Address - Fax:
Practice Address - Street 1:3046 17TH AVE W APT 307
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2295
Practice Address - Country:US
Practice Address - Phone:413-695-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health