Provider Demographics
NPI:1417167008
Name:STOEHR, BLUE CELINE (MA)
Entity type:Individual
Prefix:
First Name:BLUE
Middle Name:CELINE
Last Name:STOEHR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2494 E BRIERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6617
Mailing Address - Country:US
Mailing Address - Phone:747-229-4299
Mailing Address - Fax:
Practice Address - Street 1:1065 E WINDING CREEK DR
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-7243
Practice Address - Country:US
Practice Address - Phone:747-229-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55946106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist