Most Relevant Information
Provider Data
| NPI Number: | 1003214016 |
| Provider Name: | STEPHANIE BROADGATE LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LF61399760 |
Most Important Dates
| Enumeration Date: | 12/08/2014 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
24 MAIN STREET
METHOW
WA
98834
Practice Location Phone/Fax
| Phone: | 2064566229 |
| Fax: |
Provider Mailing Location
PO BOX 718
METHOW
WA
988340718
Provider Mailing Phone/Fax
| Phone: | 2064566229 |
| Fax: |