Doctor Name: | MARY BETH STEFFENS |
NPI Number: | 1477581791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC II |
License Number: | CADCIII |
Business Practice Address: | 9415 West Forest Home Avenue Suite #108 Hales Corners, WI - 531301680 |
Business Phone Number: | 4144274884 |
Business Fax Number: | 4144274889 |
Mailing Address: | 4555 West Schroeder Drive, Suite 170 MILWAUKEE |
State: | WI |
Postal Code: | 53223 |
Phone Number: | 4143653210 |
Fax Number: | 4143653225 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CADCIII |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |