Provider Demographics
NPI:1447541354
Name:DEMAS, STEFANI (LMHC)
Entity type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:DEMAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:SHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1231 N PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-8003
Mailing Address - Country:US
Mailing Address - Phone:206-491-4236
Mailing Address - Fax:
Practice Address - Street 1:401 BROADWAY STE 108
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3900
Practice Address - Country:US
Practice Address - Phone:206-491-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60283952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health