Provider Demographics
NPI:1770012825
Name:FIELDS, STEVEN J (LPC, NCC, CFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:FIELDS
Suffix:
Gender:M
Credentials:LPC, NCC, CFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 ALUMINUM AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1230
Mailing Address - Country:US
Mailing Address - Phone:757-301-1185
Mailing Address - Fax:
Practice Address - Street 1:2106 ALUMINUM AVE STE B
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1230
Practice Address - Country:US
Practice Address - Phone:757-301-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017017276101Y00000X, 101YM0800X, 101YP2500X
VA0701009268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health