Provider Demographics
NPI:1891036844
Name:STEWARD, CLAUDIA BRENDA (CDP)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:BRENDA
Last Name:STEWARD
Suffix:
Gender:F
Credentials:CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5628
Mailing Address - Country:US
Mailing Address - Phone:253-880-3273
Mailing Address - Fax:253-887-9444
Practice Address - Street 1:815 E MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5628
Practice Address - Country:US
Practice Address - Phone:253-880-3273
Practice Address - Fax:253-887-9444
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00006350101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)