Provider Demographics
NPI:1932100443
Name:ALTABEF, STEVEN MICHAEL (MDIV, MA, LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:ALTABEF
Suffix:
Gender:M
Credentials:MDIV, MA, LMHC
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 2738
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213-0738
Mailing Address - Country:US
Mailing Address - Phone:425-353-4428
Mailing Address - Fax:425-438-0358
Practice Address - Street 1:518 PECKS DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4405
Practice Address - Country:US
Practice Address - Phone:425-353-4428
Practice Address - Fax:425-438-0358
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health