Provider Demographics
NPI:1235342262
Name:STEEG, DIANE KATHLEEN (LPC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:KATHLEEN
Last Name:STEEG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:KATHLEEN
Other - Last Name:FERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6011 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2007
Mailing Address - Country:US
Mailing Address - Phone:269-806-0953
Mailing Address - Fax:269-375-6202
Practice Address - Street 1:6011 STADIUM DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2007
Practice Address - Country:US
Practice Address - Phone:269-806-0953
Practice Address - Fax:269-375-6202
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional