Individual
MARAH NICOLE STEFANISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA, MT-BC
Contact information
Practice address
4117 PARK RD UNIT 12402, CHARLOTTE, NC 28220-0067
(828) 507-6075
Mailing address
4117 PARK RD UNIT 12402, CHARLOTTE, NC 28220-0067
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20791A
NC
Other
Enumeration date
07/29/2019
Last updated
09/15/2025
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