Provider Demographics
NPI:1366870636
Name:STEIERT, BETHANY ANN (NCC, LPCI)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANN
Last Name:STEIERT
Suffix:
Gender:F
Credentials:NCC, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 SW 53RD CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-7196
Mailing Address - Country:US
Mailing Address - Phone:541-316-8087
Mailing Address - Fax:
Practice Address - Street 1:500 SW BOND ST
Practice Address - Street 2:SUITE 177
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1573
Practice Address - Country:US
Practice Address - Phone:541-316-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR2317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health