Healthcare Provider Details

I. General information

NPI: 1144718420
Provider Name (Legal Business Name): CRAIG STECKOWSKI CA LMFT 123706
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1343
WAKE FOREST NC
27588-1343
US

IV. Provider business mailing address

PO BOX 1343
WAKE FOREST NC
27588-1343
US

V. Phone/Fax

Practice location:
  • Phone: 646-687-9932
  • Fax:
Mailing address:
  • Phone: 949-431-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number20922
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3924
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717002381
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number123706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: