Provider Demographics
NPI:1982417325
Name:DREXEL, STEPHANIE (LMHCA)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:DREXEL
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 CREEKSIDE PL
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1704
Mailing Address - Country:US
Mailing Address - Phone:509-670-5919
Mailing Address - Fax:
Practice Address - Street 1:203 MISSION AVE STE 104
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1607
Practice Address - Country:US
Practice Address - Phone:509-670-5919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60711542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health