Provider Demographics
NPI:1730676859
Name:STEGE, ROBERTA SUE (LCPC, CADC)
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:SUE
Last Name:STEGE
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 THACKERY CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3175
Mailing Address - Country:US
Mailing Address - Phone:630-973-8801
Mailing Address - Fax:
Practice Address - Street 1:800 E DIEHL RD STE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2389
Practice Address - Country:US
Practice Address - Phone:630-577-1577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional