Provider Demographics
NPI:1659710101
Name:STEFFEN, KRISTINA KAY (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:KAY
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:KAY
Other - Last Name:FRIESEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:535 E SUNSET WAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027
Mailing Address - Country:US
Mailing Address - Phone:425-394-2614
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:535 E SUNSET WAY
Practice Address - Street 2:SUITE D
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027
Practice Address - Country:US
Practice Address - Phone:425-394-2614
Practice Address - Fax:425-653-4910
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60385806101Y00000X, 101YM0800X
WALH60557172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor