Healthcare Provider Details

I. General information

NPI: 1194461707
Provider Name (Legal Business Name): VANESSA STEFFNY LMHC-A & CN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 E SUNSET WAY
ISSAQUAH WA
98027-3442
US

IV. Provider business mailing address

385 E SUNSET WAY
ISSAQUAH WA
98027-3442
US

V. Phone/Fax

Practice location:
  • Phone: 425-999-9474
  • Fax:
Mailing address:
  • Phone: 425-999-9474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number61192483
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number61210606
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: