| Doctor Name: | GRETCHEN STEEN |
| NPI Number: | 1225499122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC |
| License Number: | 112006 |
| Business Practice Address: | 1009 Highway 2 Suite E Sandpoint, ID - 838642712 |
| Business Phone Number: | 2082559333 |
| Business Fax Number: | 2082636364 |
| Mailing Address: | Po Box 1945, SANDPOINT |
| State: | ID |
| Postal Code: | 838640905 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2016 |
| NPI Last Update Date: | 03/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 112006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |