| Doctor Name: | MRS. ALTARA SUE STEVER |
| NPI Number: | 1346581220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC I |
| License Number: | 08-06-65 |
| Business Practice Address: | 709 Ne 3rd St Prineville, OR - 977542023 |
| Business Phone Number: | 5413625610 |
| Business Fax Number: | 5413625611 |
| Mailing Address: | 709 Ne 3rd St, PRINEVILLE |
| State: | OR |
| Postal Code: | 977542023 |
| Phone Number: | 5413625610 |
| Fax Number: | 5413625611 |
| NPI Enumeration Date: | 03/02/2013 |
| NPI Last Update Date: | 03/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 08-06-65 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |