Healthcare Provider Details

I. General information

NPI: 1609716570
Provider Name (Legal Business Name): STEFFANI BECKEM CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4352 W SYLVANIA AVE
TOLEDO OH
43623-3463
US

IV. Provider business mailing address

6300 W BANCROFT ST APT 1
TOLEDO OH
43615-3256
US

V. Phone/Fax

Practice location:
  • Phone: 419-963-4855
  • Fax:
Mailing address:
  • Phone: 517-894-1638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number195566
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: