Provider Demographics
NPI:1659574093
Name:ANDERSON, STEVE (MC, CDP, LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MC, CDP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17002 138TH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-7001
Mailing Address - Country:US
Mailing Address - Phone:425-761-9050
Mailing Address - Fax:425-917-8113
Practice Address - Street 1:2105 112TH AVE NE
Practice Address - Street 2:BELLEVUE OFFICE PARK SUITE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2945
Practice Address - Country:US
Practice Address - Phone:425-761-9050
Practice Address - Fax:425-917-8113
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00005764101YA0400X
WALH00008034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health