Provider Demographics
NPI:1609695196
Name:JAMES, STEFFANIE (LPC)
Entity type:Individual
Prefix:
First Name:STEFFANIE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 WOODMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-1955
Mailing Address - Country:US
Mailing Address - Phone:972-955-3242
Mailing Address - Fax:
Practice Address - Street 1:1422 WOODMONT AVE
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-1955
Practice Address - Country:US
Practice Address - Phone:972-955-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health