Provider Demographics
NPI:1003580366
Name:STIFTER, JOHN (LMHC, LMFTA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:STIFTER
Suffix:
Gender:M
Credentials:LMHC, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8394
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-0394
Mailing Address - Country:US
Mailing Address - Phone:509-999-8536
Mailing Address - Fax:
Practice Address - Street 1:400 S JEFFERSON ST # 451C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3121
Practice Address - Country:US
Practice Address - Phone:509-999-8536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61356702101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health