Provider Demographics
NPI:1306503859
Name:STEFFER, ANA PAULINA ARIAS BELLO (MA, LADC)
Entity type:Individual
Prefix:
First Name:ANA PAULINA
Middle Name:ARIAS BELLO
Last Name:STEFFER
Suffix:
Gender:F
Credentials:MA, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4546 124TH CT NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-2603
Mailing Address - Country:US
Mailing Address - Phone:651-242-7925
Mailing Address - Fax:
Practice Address - Street 1:4546 124TH CT NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-2603
Practice Address - Country:US
Practice Address - Phone:651-242-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303637101YA0400X
MN4253101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty