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NPI Code Detail

MEDICARE: STEPHANIE MARIE STEEN MA

MEDICARE:   STEPHANIE MARIE STEEN  MA
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
1101Y00000XCounselor
2101YM0800XMental Health CounselorMH14952FL
3101YM0800XMental Health Counselor068.0135586TELEVT

General Provider Information

NPI Number : 1740546506
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE STEEN MA
Provider Business Mailing Address
First Line : 1341 OLDE BAILEY LN
Second Line :
City : MELBOURNE
State : FL
Zip : 32904-8025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1341 OLDE BAILEY LN
Second Line :
City : MELBOURNE
State : FL
Zip : 32904-8025
Country : US
Telephone Number : 321-412-0177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2012
Last Update Date : 03/13/2026

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Directions to “ STEPHANIE MARIE STEEN MA” Practice Location

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