Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | LH60439183 | WA |
N | 101YM0800X | Mental Health Counselor | R1348 | OR |
N | 101YP1600X | Pastoral Counselor | CA |
NPI | 1316214448 |
---|---|
Provider Name | Steven J Stewart |
First Address | Puyallup, WA 98375-9504 |
Second Address | Puyallup, WA 98375-9504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2011 |
Last Update Date | 17/02/2015 |