Provider Demographics
NPI:1407942642
Name:CANFIELD, MICHELLE STERN (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:STERN
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:PHD, LMFT
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 12382
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98082-0382
Mailing Address - Country:US
Mailing Address - Phone:425-467-1234
Mailing Address - Fax:425-569-2050
Practice Address - Street 1:1400 112TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6901
Practice Address - Country:US
Practice Address - Phone:425-467-1234
Practice Address - Fax:206-569-2050
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002259106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist