Individual provider · Type 1 NPI

Stephanie Lynn White Eagle, MFT, CSAC

Marriage & Family Therapist · Baraboo, WI

NPI number 1184957334 Active

Practice location

S2845 White Eagle Rd
Baraboo, WI 53913-9064

Fax (608) 356-7152

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11480-132 (WI)
Marriage & Family Therapist Primary 106H00000X1258-124 (WI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1184957334

Stephanie Lynn White Eagle, MFT, CSAC's National Provider Identifier is 1184957334, issued on Sep 4, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Baraboo, WI. The record was last updated on Oct 24, 2019.