MEDICARE: ROSE STEFFEN MS, CFLE

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	CI5696	NV

General Provider Information

NPI Number	:	1386431559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE STEFFEN MS, CFLE

Provider Business Mailing Address
First Line	:	770 MILL ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-1321
Country	:	US
Telephone Number	:	775-636-7767
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 KIETZKE LN BLDG L
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-5033
Country	:	US
Telephone Number	:	775-636-7767
Fax Number	:

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

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	03/06/2026

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