Provider Demographics
NPI:1891067906
Name:STEENO, JEFFREY LINUS (MA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LINUS
Last Name:STEENO
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 MCKINNON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-2151
Mailing Address - Country:US
Mailing Address - Phone:415-793-6041
Mailing Address - Fax:
Practice Address - Street 1:1550 MCKINNON AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2151
Practice Address - Country:US
Practice Address - Phone:415-793-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-04
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor