Provider Demographics
NPI:1821228206
Name:STEELE, JENNIFER MICHELE (LPCC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MICHELE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12708 MOUNTAIN VIEW AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-2038
Mailing Address - Country:US
Mailing Address - Phone:505-289-0235
Mailing Address - Fax:505-633-7613
Practice Address - Street 1:9301 INDIAN SCHOOL RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2884
Practice Address - Country:US
Practice Address - Phone:505-289-0235
Practice Address - Fax:505-633-7613
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0148411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58724061Medicaid