Provider Demographics
NPI:1841457256
Name:STEINHOUR, MARA H (LCPC)
Entity type:Individual
Prefix:MRS
First Name:MARA
Middle Name:H
Last Name:STEINHOUR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 EAST STATE STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108
Mailing Address - Country:US
Mailing Address - Phone:815-520-8754
Mailing Address - Fax:888-228-7065
Practice Address - Street 1:7210 E. STATE STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108
Practice Address - Country:US
Practice Address - Phone:815-520-8754
Practice Address - Fax:888-228-7065
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional