Healthcare Provider Details

I. General information

NPI: 1528724648
Provider Name (Legal Business Name): MICHAEL QUIRN STEFFES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 PARAMOUNT BLVD STE 306&402
DOWNEY CA
90241-3331
US

IV. Provider business mailing address

171 CORONA AVE
LONG BEACH CA
90803-3318
US

V. Phone/Fax

Practice location:
  • Phone: 562-821-1491
  • Fax:
Mailing address:
  • Phone: 562-822-8411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC8231
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAPCC8231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: