Provider Demographics
NPI:1750959003
Name:HESTER, STEFANIE N (LAC)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:N
Last Name:HESTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 S VAL VISTA DR STE 152
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1682
Mailing Address - Country:US
Mailing Address - Phone:480-471-8560
Mailing Address - Fax:888-979-8197
Practice Address - Street 1:2730 S VAL VISTA DR STE 146
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1679
Practice Address - Country:US
Practice Address - Phone:480-542-9511
Practice Address - Fax:888-979-8197
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-6988T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health