Provider Demographics
NPI:1891043485
Name:STEINER, DANIEL ERIC (MFTINTERN)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ERIC
Last Name:STEINER
Suffix:
Gender:M
Credentials:MFTINTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 304
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-422-0464
Mailing Address - Fax:707-426-0465
Practice Address - Street 1:490 CHADBOURNE ROAD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533
Practice Address - Country:US
Practice Address - Phone:707-422-0464
Practice Address - Fax:707-426-0465
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64766 MFTI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health