Provider Demographics
NPI:1932313368
Name:STEINBECK, KRISTAL DAWN
Entity Type:Individual
Prefix:MRS
First Name:KRISTAL
Middle Name:DAWN
Last Name:STEINBECK
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 1:1002 E PHILIP AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6104
Mailing Address - Country:US
Mailing Address - Phone:308-532-4940
Mailing Address - Fax:308-532-4941
Practice Address - Street 1:1002 E PHILIP AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6104
Practice Address - Country:US
Practice Address - Phone:308-532-4940
Practice Address - Fax:308-532-4941
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health