Provider Demographics
NPI:1689271504
Name:STEFFEN, AIMEE JOY
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:JOY
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6649 N GREENVIEW AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-4268
Mailing Address - Country:US
Mailing Address - Phone:312-952-0811
Mailing Address - Fax:
Practice Address - Street 1:2301 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4918
Practice Address - Country:US
Practice Address - Phone:312-952-0811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor