Provider Demographics
NPI:1255841417
Name:ING, STEVEN PHILLIP (MFT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PHILLIP
Last Name:ING
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 LAKESIDE CT STE 130
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4865
Mailing Address - Country:US
Mailing Address - Phone:775-329-6002
Mailing Address - Fax:
Practice Address - Street 1:3500 LAKESIDE CT STE 130
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4865
Practice Address - Country:US
Practice Address - Phone:775-329-6002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health