Most Relevant Information
Provider Data
| NPI Number: | 1003372343 |
| Provider Name: | DANA STOCKHAUSEN LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH16672 |
Most Important Dates
| Enumeration Date: | 02/12/2019 |
| Last Updated: | 02/12/2019 |
Provider Practice Location
1155 S CONGRESS AVE
PALM SPRINGS
FL
334065114
Practice Location Phone/Fax
| Phone: | 5614089055 |
| Fax: |
Provider Mailing Location
5937 WESTFALL RD
LAKE WORTH
FL
334636734
Provider Mailing Phone/Fax
| Phone: | 5612014604 |
| Fax: |