MEDICARE: STEFFANIE HASS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073496394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFANIE HASS

Provider Business Mailing Address
First Line	:	1709 FERN ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-1415
Country	:	US
Telephone Number	:	608-354-9611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1709 FERN ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-1415
Country	:	US
Telephone Number	:	608-354-9611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2025
Last Update Date	:	08/28/2025

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Directions to “ STEFFANIE HASS ” Practice Location

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