Provider Demographics
NPI:1124178223
Name:ESSNER, STEVE M (LPC)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:M
Last Name:ESSNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1953 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2382
Mailing Address - Country:US
Mailing Address - Phone:573-382-2693
Mailing Address - Fax:413-382-2698
Practice Address - Street 1:1953 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2382
Practice Address - Country:US
Practice Address - Phone:573-382-2693
Practice Address - Fax:413-382-2698
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001531101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor