Individual
EMILY LEE STADSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2101 N LAKEWOOD DR STE 225, COEUR D ALENE, ID 83814-2473
(208) 984-0989
Mailing address
2101 N LAKEWOOD DR STE 225, COEUR D ALENE, ID 83814-2473
(208) 984-0989
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1482124
WI
106H00000X
Marriage & Family Therapist
Primary
3725
MN
106H00000X
Marriage & Family Therapist
61396310
WA
106H00000X
Marriage & Family Therapist
7851
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482-124
LICENSED MARRIAGE AND FAMILY THERAPIST
WI
01
—
3725
LICENSED MARRIAGE AND FAMILY THERAPIST
MN
01
—
61396310
LICENSED MARRIAGE AND FAMILY THERAPIST
WA
01
—
7851
LICENSED MARRIAGE AND FAMILY THERAPIST
ID
Enumeration date
02/06/2020
Last updated
11/24/2023
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