Individual
KERI STEPHANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCPC, LBA
Contact information
Practice address
5915 ALBANY AVE, BUTTE, MT 59701-7402
(406) 221-6273
Mailing address
116082 FLEECER RD, BUTTE, MT 59750-9710
(406) 221-6273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
BBH-LCPC-LIC-34703
MT
103K00000X
Behavior Analyst
1-21-48155
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-38882
MT
Other
Enumeration date
03/15/2018
Last updated
02/03/2022
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