Provider Demographics
NPI:1356458210
Name:STEFFEN, JUDITH M (PHD LPC AAMFT)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:M
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:PHD LPC AAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 SE 2ND ST
Mailing Address - Street 2:STE C
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063
Mailing Address - Country:US
Mailing Address - Phone:816-554-0912
Mailing Address - Fax:816-554-0916
Practice Address - Street 1:521 SE 2ND ST
Practice Address - Street 2:STE C
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063
Practice Address - Country:US
Practice Address - Phone:816-554-0912
Practice Address - Fax:816-554-0916
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional