Provider Demographics
NPI:1104078336
Name:STEELE, KATIE DIANE (LMFT)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:DIANE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5729 MAIN ST # 146
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-5426
Mailing Address - Country:US
Mailing Address - Phone:541-729-3337
Mailing Address - Fax:
Practice Address - Street 1:550 SW INDUSTRIAL WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1084
Practice Address - Country:US
Practice Address - Phone:541-729-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist