Provider Demographics
NPI:1679157440
Name:STEINBACHER, KENNETH (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:
Last Name:STEINBACHER
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 NE MULTNOMAH ST APT 404
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-3587
Mailing Address - Country:US
Mailing Address - Phone:503-208-6424
Mailing Address - Fax:971-346-4448
Practice Address - Street 1:2020 NE MULTNOMAH ST APT 404
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-3587
Practice Address - Country:US
Practice Address - Phone:503-208-6424
Practice Address - Fax:971-346-4448
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health