Provider Demographics
NPI:1316214448
Name:STEWART, STEVEN J (LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:STEWART
Suffix:
Gender:M
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15406 MERIDIAN AVE. E.
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-9504
Mailing Address - Country:US
Mailing Address - Phone:503-936-1508
Mailing Address - Fax:
Practice Address - Street 1:15406 MERIDIAN AVE. E.
Practice Address - Street 2:SUITE 206
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-9504
Practice Address - Country:US
Practice Address - Phone:503-936-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR1348101YM0800X
WALH60439183101YM0800X
CA101YP1600X
ORT0793106H00000X
WALF60438322106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral