Provider Demographics
NPI:1447555834
Name:STEINBERG KUNTZ, DEBRA (LMFTA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:STEINBERG KUNTZ
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 WILDWOOD BLVD SW
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-4518
Mailing Address - Country:US
Mailing Address - Phone:425-445-2342
Mailing Address - Fax:
Practice Address - Street 1:55 1ST PL NW
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3271
Practice Address - Country:US
Practice Address - Phone:425-445-2342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60113942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist