Provider Demographics
NPI:1366512915
Name:WREN, STEVEN JAMES (LMHC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:WREN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:JAMES
Other - Last Name:SCHUETZ/HALLORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10005 SW 178TH ST. #1869
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070
Mailing Address - Country:US
Mailing Address - Phone:206-217-4465
Mailing Address - Fax:206-217-4463
Practice Address - Street 1:20720 111TH AVE SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070
Practice Address - Country:US
Practice Address - Phone:206-217-4465
Practice Address - Fax:206-217-4463
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006417101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional